Eastern Kentucky PRIDE

Personal Responsibility in a Desirable Environment

Project of the Month Form

You may fill out the form below to submit a nominee for Education Project of the Month or download the Education Project of the Month Nomination Form (PDF) and fax it to 606-677-6055

Nomination Form

Project of the Month Form

About the project

Organization: *

Name of person in charge or overseeing project: *

Mailing address: *

Phone Number *

Description of project or activity: *

Month(s) that project occurred: *

PRIDE Club activity: *

Yes

Grade level(s) of students involved: *

Number of student that participated: *

Community volunteers who participated (if applicable):

Organizations that helped make the project possible (if applicable):

How were PRIDE Environmental Education Grant funds used in the project? *

About the person submitting the nomination

First *

First

Last *

Last

Title:

Organization:

Phone Number:

Email Address *

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The Center for Rural Development • 2292 South Highway 27 • Somerset, Ky 42501
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Eastern Kentucky PRIDE

Personal Responsibility in a Desirable Environment

Project of the Month Form

Nomination Form

About the project

About the person submitting the nomination

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