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
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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
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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 ]