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2. Teacher's Name: *
4. Teacher's Email:*
6. Teacher's School: *
8. Grade:*
10. In what subject is this assignment?*
12. What is the homework/research assignment? Please be as detailed as possible. Add restrictions as well. (i.e. number of pages per book, number of materials needed for project)*
14. What resources are acceptable for this assignment? Please check all that apply.

    1. Books
    2. E-Books
    3. Journal Articles (found in online library databases)
    4. Newspaper Articles (found in online library databases)
    5. Local History Information
    6. Encyclopedias (available online)
    7. Websites
    8. DVDs
    9. Music CDs
16. Will multiple students have the exact same assignment?*

    1. Yes
    2. No
18. Date assignment begins:
    Date assignment begins:
20. Date assignment is due:*
    Date assignment is due:
22. Is there anything else you would like to add?
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24. 1. Receive an email copy of this form.
25. Email address

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26. Submit

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