1. Student Teacher (Skip to #4) Parent (Skip to #4)
If Student answer #2 and #3 2. Age: 5-7 8-9 10-12 13-14 15-17 18-22 3. Boy Girl
4. What state do you live in?
5. What did you like best about the NIE site?
6. What would you like to see on the NIE site?
7. Other comments
8. If you would like our NIE coordinator to contact you about our Newspapers in the School program or if you would like information on how you can help support our NIE program, please complete the following information.
I want to know more about NIE in my school I would like to help support NIE
Name Address City State Zip
E-mail Telephone (include area code) Phone 2 (if applicable) Best time to call me
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