Literacy Counts Read-a-thon 2010 supports reading initiatives for students, children and community youth.

Literacy
Counts

School Application Form

Fill out the School Application Form when you can!  Your form information is confidential.
We do NOT share your contact information with anyone!

Thank you for your interest in participating in the Give Literacy a Hand Read-a-thon. Please contact us at readathon@cuedspeech.org so that we may do our part to ensure your school’s participation success!

BOLD denotes required information:
Read-a-thon Coordinator:  
 
 
E-mail Address: 
 
  xxxxxxxx@anysite.com
 
 
Name of School: 
  
 

 
Street Address: 
  
 
Address 2: 
  
 
City: 
  
 
State: 
  
 
Zip: 
  
 
Phone #:
     -
   (xxx) xxx-xxxx
FAX #:
     -
   (xxx) xxx-xxxx
 
Grade/Age Levels: 
   -
  Numbers only, if more information on this,
provide details in the comments section below.
 
Total Number of Students: 
  
 
Total Number of Students Participating in the Read-a-thon Program: 
  
 
Does your school support deaf and hard of hearing students?:  
  
 
Does your school support a Cued Speech Program?:  
  
 

Agreement:

 

My school will participate in the Give Literacy a Hand Read‐a‐thon during October, 2010. Our school will encourage student‐wide participation and support. We will allow the NCSA to post the Read‐a‐thon on the school’s web site. Our school will retain 40% of the proceeds collected, and forward the remaining 60% to the National Cued Speech Association; 5619 McLean Drive, Bethesda, MD 20814‐1021.

 
Principal's Name: 
  
 
Principal's Phone #:
     -
 
Date: 
  
 
 
 
Comments: 
  

 
 


Deaf Childrens Literacy Project
5619 McLean Drive
Bethesda, MD 20814-1021
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