Participating School Application 2013

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* Required information.

Full Basket Belize improves the education, health, and environment of Belizean communities through educational scholarships and community grants.

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Proud affiliate of the NPCA

School Name *
School Mailing Address (include town) *
School physical address (describe where it's located) *
Total school enrollment *
Principal's name *
School contact person for scholarship program *
Contact's phone number *
Contact's email *
How much are school fees for one year (not including uniforms and books)? *
How much are uniform costs for one year? *
How much are book costs for one year? *
Any other school-related costs? If so, what are they and how much? *
I certify that the information provided in this application is true and complete *
Are you authorized to sign a binding agreement on behalf of the school? *
SIGNATURE: (type your name here): *
Date *