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Instructions to the Educator: Please provide us with your contact information for access to a downloadable nomination form and to have brochures and nomination forms mailed to you. For nomination forms and brochures for multiple students, simply enter the number of students you wish to nominate to attend the Great Books Summer Program. For assistance or to request nomination forms directly, please call 1-866-480-READ (7323)
Title
First Name*
Last Name*
Gender*
School Name/District*
Address Line 1*
Address Line 2
City*
State*
ZIP*
Country*
School Phone
School Fax
School E-Mail
Home Phone
Home E-Mail*
Number of Students to Nominate

Intermediate Program

(entering grades 6-8 in Fall ’08)
Senior Program (entering grades 9-12 in Fall ’08)
Type of School
How did you hear about us?
If other, please specify
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