Survey / Petition / Poll Form Page  1 of _____   Date: ___/___/____
Subject: National Council's Bible Curriculum in Public School , Volunteer Name(s):______________
School District: _______________________
School Board Ph.# _____ -_____ -__


MAIL for receipt on/before: ______________  for the ____________ Sch Bd Meeting.
MAIL to Organizer: ____________________ 
Org. Email: ______@____________
Org. Address:  _________________________
Org. Ph #    _____ -_____ -________
Org. ST/Zip:    _________________________
Org. Fax #   _____ -_____ -________
Statement of Objectives For This Survey / Petition / Poll.
    WE, THE UNDERSIGNED, RECOGNIZING THE U.S. CONSTITUTIONAL RIGHT TO HAVE A STATE APPROVED BIBLE COURSE CURRICULUM, ENCOURAGE THAT SUCH AN ELECTIVE COURSE CURRICULUM BE OFFERED IN THE PUBLIC SCHOOL SYSTEM OF THIS STATE.
    AS CONCERNED CITIZENS, WE DESIRE THAT THIS CURRICULUM [NATIONAL COUNCIL'S BIBLE CURRICULUM, UNCHANGED AND IN IT'S ENTIRETY, (as in 29 other states)] BE IMPLEMENTED IN THE PUBLIC SCHOOL SYSTEM, AND WILL VOTE FOR IT ACCORDINGLY.
              _COMPLETE  INFORMATION  WILL  MAXIMIZE  YOUR  EFFORT  &  ENCOURAGE  OUR  VOLUNTEERS.    ___    _
| Name (Signature)+ print last
| Street Address
 |  City / ST / Zip
|   Ph # / Email:
Student (S), Parent (P), |
Citizen (C) / I  will help (H). |
 1
 
 _______
Ph/Eml:
_ /_
 
 
  _______
Ph/Eml:
_ /_
 
 
  _______
Ph/Eml:
_ /_
 
 
  _______
Ph/Eml:
_ /_
 5
 
  _______
Ph/Eml:
_ /_
 
 
  _______
Ph/Eml:
_ /_
 
 
  _______
Ph/Eml:
_ /_
 
 
  _______
Ph/Eml:
_ /_
 
 
  _______
Ph/Eml:
_ /_
 0
 
 _______
Ph/Eml:
_ /_
Permission is granted to copy and distribute this form.  , Back to /HowTo/     
 
Survey / Petition / Poll Form Continued ( CIRCLE ONE )  Page __  of __
Subject: Nat. Council's Bible Curriculum in P. Sch.__Volunteer Name: ______________    Date: ___/___/____
           _COMPLETE  INFORMATION  WILL  MAXIMIZE  YOUR EFFORT  &  ENCOURAGE  OUR  VOLUNTEERS.   __    __
| Name (Signature)+ print last
 | Street Address
    | City / ST / Zip
    |   Ph # / Email:
Student (S), Parent (P), |
Citizen (C) / I  will help (H) |
 1
 
  _______
Ph/Eml:
  /_
 
 
  _______
Ph/Eml:
 /_
 
 
  _______
Ph/Eml:
  /_
 
 
  _______
Ph/Eml:
_/_
 5
 
  _______
Ph/Eml:
  /_
 
 
  _______
Ph/Eml:
  /_
 
 
  _______
Ph/Eml:
  /_
 
 
 _______
Ph/Eml:
  /_
 
 
 _______
Ph/Eml:
  /_
 0
 
 _______
Ph/Eml:
  /_
 
 
_______
Ph/Eml:
  /_
 
 
_______
Ph/Eml:
  /_
 
 
_______
Ph/Eml:
_/_
 
 
_______
Ph/Eml:
_/_
 5
 
_______
Ph/Eml:
_/_
 
 
_______
Ph/Eml:
_/_
 
 
_______
Ph/Eml:
_/_
 _
 
_______
Ph/Eml:
_/_
 
 
_______
Ph/Eml:
_/_
 0
 
_______
Ph/Eml:
_/_
NOTE:  Form is designed with HTML 4 & for 1/2" margins all around 8.5" x11".  If page break is not correct try printing pages separately. [Page 1 , Page 2 ]