Register - NJ Italian Heritage Commission

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11.

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Full Name

Title

Home Address

City

State

Zip Code

Cell Phone Number

Email address

School Name and District

Subject(s) Taught

Grade Level (s)

Have you integrated our materials into your classroom?

___Yes

___No

If yes, please comment on their effectiveness.

Where did you hear about the NJIHC Curriculum?

Signature

Date

Email, or send completed form by mail, to:

NJIHC

NJDOE, 100 Riverview Plaza

Trenton, NJ 08625

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