INITIAL INTEREST FORM - A VOUS LA PAROLE 2005

Please return this* postmarked no later than Friday, February 25th, 2005 to

Clare Hagen

15132 Dupont Path

Apple Valley, MN 55124

*OR e-mail the information to: avouslaparole@hotmail.com

Name of teacher(s): ________________________________________________

________________________________________________

Home phone: ________________________

Home phone: ______________________

E-mail address(es): ________________________________________________________________________________

________________________________________________________________________________

Name of school: ___________________________________________________________________________________________

Telephone (school):_________________________________________Fax (school):

____________________________________

Address to send future mailings:

__________________________________________________________________________

(check one) ___ home ____ school

___________________________________________________________________________

PLEASE ANSWER THE FOLLOWING 3 QUESTIONS REGARDING YOUR SCHOOL’S PARTICIPATION…

1) WHAT TIME LIMITATIONS DO YOU ANTICIPATE, IF ANY?

(bus times, arrival / departure times, etc.)

2) ARE ANY OF YOUR STUDENTS GOING TO BE ENTERING THE VIDEO

(CÉSAR-ETTES) CATEGORY?

3) APPROXIMATELY HOW MANY STUDENTS WILL BE COMING FROM

YOUR SCHOOL?

URL: http://courseweb.stthomas.edu/mlwolsey/mnaatf/2d.htm Created: 1 February, 2005 Updated: 2 Feb. 2005