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Agency for Literacy
Deadline January 15
Name of Agency/Organization *
Organization Address *
Contact Person of Organziation *
Phone Number of Contact Person *
Describe the purpose/function of the agency/organization. *
Describe contributions of the agency/organization to literacy. Attach supporting data such as publicity, letters of support, etc. *
Please include a photograph of the agency. *
Required
Council Making Nomination *
Council President *
Council President Contact Information *
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