Elementary School               terrific good okay boring the pits unbearable select >	High School              terrific good okay boring the pits unbearable Not Applicable
College         terrific good okay boring the pits unbearable Not Applicable

Please tell us your story about your school experiences:

• wonderful experiences
• terrible experiences
• "turn around" experiences
• inspiring experiences or teachers

    Tell us your story!

May we use your story and/or your name?

  Story: yes no
  Name: yes no

* If you are willing to let us use your story and/or name, please
fill out name and address information below and we will send
you a release form to sign.

Thanks so much!


Name
Address
City State Zip

Additional information:

Phone
E-mail address
Age
Occupation