ADL: Survey - Philadelphia - NPFH School Request for Project Approval

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Question - Required - School Name

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Question - Required - Contact Name(s)

(Maximum response 255 chars, approx. 5 rows of text)

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Question - Required - Address

(Maximum response 255 chars, approx. 5 rows of text)

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Question - Required - Phone

Question - Not Required - Fax

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Question - Required - Email

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Question - Required - Date:

PROJECT APPROVAL FORMS MUST BE SUBMITTED AT LEAST 2 WEEKS BEFORE THE PROJECT DATE, OR THE PROJECT MAY NOT BE APPROVED. Please fill in the information about your No Place for Hate® project with as much detail as possible.

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Question - Required - What number No Place for Hate® project is this for this year (Project #1, 2, 3, etc.)? Project #:

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Question - Required - Including this year, how many years has your school participated in the No Place for Hate® program? Year #:

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Question - Required - What is the title of this project?

Please answer the next six questions to fully describe the project:

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Question - Required - Will all students directly participate in this project? If "No," please note that projects must have whole-school impact, even if not all students directly participate. Explain how all students will benefit or learn the project's lessons from those who will directly participate.

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Question - Required - Please describe the project in detail.

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Question - Required - When (date and time) will this project take place?

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Question - Required - Where will this project take place?

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Question - Required - What is the goal of this project?

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Question - Required - How does this project fit with the mission of the No Place for Hate? (Projects should promote respect for individual and group differences while challenging bullying, prejudice and bigotry. Ideally, projects will help young people put current events into historical context, challenge them to think critically and evoke a sense of "community" around No Place for Hate themes.)

REMEMBER TO COLLECT ANECDOTAL, VISUAL, STATISTICAL, WRITTEN, OR OTHER DATA OR SUPPLEMENTARY MATERIALS DURING AND AFTER YOUR PROJECT!