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* 1. Email address 

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* 2. Project Leader First name

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* 3. Project Leader Last Name

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* 4. Role/Position

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* 5. Name of the school/Name of the institution

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* 6. Type of institution

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* 7. Institution Address

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* 8. How many students are participating in the school/institution ?

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* 9. How many classes and students of each category from your institution are participating ? Check all applicable.

  "Elementary" - Age 6 to 10 - Grades 1 to 5 "Secondary" - Age 11 to 15 - Grades 6 to 9
Number of classes
Number of students (total with all classes)
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