Urban Xtreme Achievement Award Application for Schools
To receive Urban Xtreme Awards for your school just complete the application below
SCHOOL INFORMATION
Please provide us with some information about your school
School Name *
Your answer
Postal Address *
Your answer
School Physical Address
Your answer
Information about the behavioural/rewards program *
Briefly explain how the awards will be utilised to help your students
Your answer
Briefly explain how the awards will be utilised to help your students *
Your answer
How many awards do you estimate you will need for your program in a 6 month period *
Your answer
What age group will the awards be used for *
Your answer
Start date of behavioural program *
MM
/
DD
/
YYYY
Any other information you would like to share about your school *
Include information on fetes, fundraising or other events that Urban Xtreme may be interested in supporting
Your answer
CONTACT INFORMATION
Contact Person 1 Name *
Your answer
Contact Person 1 Role *
Your answer
Contact Person 1 Phone *
Your answer
Contact Person 1 Email *
Your answer
Contact Person 1 Preferred Contact Method & Time *
Your answer
Contact Person 2 Name *
Your answer
Contact Person 2 Role *
Your answer
Contact Person 2 Phone *
Your answer
Contact Person 2 Email *
Your answer
Contact Person 2 Preferred Contact Method & Time *
Your answer
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