| School Name |
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| School Contact, Position |
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| Address |
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| City |
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| State |
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| Zip Code |
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| Phone |
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| Best time to call |
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| Email |
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| Grades in School |
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| Current Student Population |
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| In which subjects would the programs be used? |
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| How many TV sets does the school own? |
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What type of VCR does the school own?
(A VCR and TV will be needed to receive, view and tape
our broadcasts) |
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| In feet and inches, how high, above ground level, is the roof of the school? |
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| Please describe, as accurately as possible, your school's location, including cross streets, nearby major intersections,
which side of the street the school is on (north, east, south, west), and how far into the block the school is
located. |
(Needed for FCC purposes in the registration of receive
sites)
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| Is your school accredited? |
Yes No |
| If so, please give dates of accreditation and the name
of the accrediting entity or organization. |
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| Is the accrediting entity a state or regional body? |
Regional State |
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