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* 1. School Name:

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* 2. Address:

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* 3. Teacher name / Project Lead:

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* 4. Role:

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* 5. Work Email Address:

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* 6. School Phone Number:

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* 7. Mobile Phone Number:

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* 8. What is the name of the town your project will feature?

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* 9. Please share any initial ideas you have for your project:

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* 10. By submitting this form, your school agrees to the terms of the My Hometown Privacy Policy. Click here to read the policy.

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