Survey / Petition / Poll Form Page  1 of _____
Subject: Nat. Council's Bible Curriculum in P. Sch. ,    Volunteer Name: ______________    Date: ___/___/ 2001__
School District: ___Pinellas County___________
School Board Ph.#  727-_588_-_6300_
MAIL for receipt on/before: Sat.  Feb 3, 2001  for the next School Board Meeting.
MAIL to Organizer: __Rick Klenk__________ 
Org. Email: __Staff(.a.)neprimer.com___
Org. Address:  152 SW Monroe Cir. N.______
Org. Ph #     727  -  526  - 4790 
Org. ST/Zip:    St. Petersburg, FL  33703_____
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)
| Street Address
 |  City / ST / Zip
|   Ph # / Email:
Student (S), Parent (P), |
Citizen (C) / I  will help (H). |
 1
 
 City/ Zip                     
  Ph/ email
_ /_
 
 
 City/ Zip                     
  Ph/ email
_ /_
 
 
 City/ Zip                     
  Ph/ email
_ /_
 
 
  City/ Zip                     
  Ph/ email
_ /_
 5
 
 City/ Zip                     
  Ph/ email
_ /_
 
 
  City/ Zip                     
  Ph/ email
_ /_
 
 
 City/ Zip                     
  Ph/ email
_ /_
 
 
 City/ Zip                     
  Ph/ email
_ /_
 
 
 City/ Zip                     
  Ph/ email
_ /_
 0
 
  City/ Zip                     
  Ph/ email
_ /_
Permission is granted to copy and distribute this form.  , Back to /HowTo/ ,   
 
Survey / Petition / Poll Form Continued..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)
 | Street Address
    | City / ST / Zip
    |   Ph # / Email:
Student (S), Parent (P), |
Citizen (C) / I  will help (H) |
 1
 
 City/ Zip                     
  Ph/ email
  /_
 
 
 City/ Zip                     
  Ph/ email
 /_
 
 
 City/ Zip                     
  Ph/ email
  /_
 
 
 City/ Zip                     
  Ph/ email
_/_
 5
 
  City/ Zip                     
  Ph/ email
  /_
 
 
  City/ Zip                     
  Ph/ email
  /_
 
 
 City/ Zip                     
  Ph/ email
  /_
 
 
  City/ Zip                     
  Ph/ email
  /_
 
 
 City/ Zip                     
  Ph/ email
  /_
 0
 
  City/ Zip                     
  Ph/ email
  /_
 
 
 City/ Zip                     
  Ph/ email
  /_
 
 
 City/ Zip                     
  Ph/ email
  /_
 
 
 City/ Zip                     
  Ph/ email
_/_
 
 
 City/ Zip                     
  Ph/ email
_/_
 5
 
 City/ Zip                     
  Ph/ email
_/_
 
 
 City/ Zip                     
  Ph/ email
_/_
 
 
 City/ Zip                     
  Ph/ email
_/_
 _
 
 City/ Zip                     
  Ph/ email
_/_
 
 
 City/ Zip                     
  Ph/ email
_/_
 0
 
 City/ Zip                     
  Ph/ email
_/_
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 1 of 1, 2 of 2.