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Freedoms Foundation Address

Leavey Awards

Pre-Qualifying Online Submission Form


First NameLast Name
School, College or University

Address

CityStateZip
E-mail

Daytime Phone

Evening Phone

Are you currently employed as an educator at an accredited school, college or university?
 Yes       No


Did your program or project run during the previous academic year?
 Yes       No
Please briefly describe your project in approximately 250 words or less: