ADL: Survey - Philadelphia - School Project Fulfillment Form

Philadelphia - School Project Fulfillment Form

*	Question - Required - School Name
	Question - Not Required - Contact Name(s)
*	Question - Required - Address
*	Question - Required - Phone
*	Question - Required - Fax
*	Question - Required - Email
	Question - Not Required - Date (MMDDYY)
	PROJECT FULFILLMENT FORMS MUST BE SUBMITTED WITHIN 4 WEEKS OF COMPLETION OF THE PROJECT. Please fill in the information about your No Place for Hate® project with as much detail as possible
*	Question - Required - What number No Place for Hate project was this for this year (Project #1, 2, 3, etc.)? Please make sure that the project number corresponds to the number on your Request for Project Approval. Project #:
*	Question - Required - Including this year, how many years has your school participated in the No Place for Hate program? Year #:
*	Question - Required - What was the title of this project? (Maximum response 255 chars, approx. 5 rows of text)
	Please answer the next six questions to fully describe the project:
*	Question - Required - Did all students directly participate in this project? If "No," please note that projects must have whole-school impact, even if not all students directly participated. Explain how all students benefited or learned the project's lessons from those who did directly participate.
*	Question - Required - Please describe the project in detail.
*	Question - Required - When (date and time) did this project take place?
*	Question - Required - Where did this project take place?
*	Question - Required - Was there participation from organizations or people from the larger community?
*	Question - Required - What was the goal of this project?
*	Question - Required - Do you feel that you met your goal for this project? Why or why not?
	PLEASE SEND ANY ACCOMPANYING MATERIALS SUCH AS LESSON PLANS, NEWSPAPER ARTICLES, PHOTOGRAPHS AND VIDEO (WITH DESCRIPTION INCLUDING NAMES OF INDIVIDUALS AND AFFILIATIONS).