| ORGANIZATION NAME: (Please
provide the name of the organization and/or project):
|
| CONTACT NAME / ADDRESS /
PHONE:
|
| CONTACT EMAIL
ADDRESS:
|
| DESCRIPTION OF
PROJECT: (Please provide a description of the project in 100 words
or less, including the Organization's mission and project
objectives.
|
| NUMBER OF CHILDREN TO BE SERVED
(Please provide details of the audience, including age and other
relevant information):
|
| LENGTH, FREQUENCY AND LOCATION OF
PROGRAM (For example, "This six-week program will meet twice a week
from 2:00 to 4:00 at NCC
|
REQUEST TO PROGRAM WITH Norwalk Reads!