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Date (month/day/year)

Contact Information:
Teacher's Name:                                                                                                         Email:  
                                               
School:                                                                                                                       Grade:
                                                Sixth Seventh Eight Ninth Tenth Eleventh Twelfth
Subject:                                                                                                                      Size of Class:
                                               
Date Assignment Begins:
Date Assignment Ends:  

Brief Description of the Assignment/Project below:


Suggestions / Limitations for Sources (e.g. encyclopedias, almanacs, magazines, books, etc)

Any Special Details or Requests?