We are trying to learn as much as possible about what happened to schools and libraries in the hurricanes and what resources and plans your school has to build or rebuild or its library. Please complete as much of this survey as you feel comfortable before downloading the grant application.

*Required fields

1. *  Your First Name:  
    *            Last Name:                    
2. Your Address:
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      Line 2:
      City:       State:  -Select a State- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other   
      Zip:      
3. *Your Email Address:   
4. Your phone number:      
5. *Name of the School on whose behalf you are considering applying
                  
6. Address of the School:
      Line 1: 
      Line 2:
      City:       State:  -Select a State- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other   
      Zip: