Steps to Becoming a No Place for Hate® School

Coalition Fulfillment Form

Name of school:
Name of Principal/Director:
Address:
  City: State: Zip Code:
Contact Person:
Phone:
Fax:
E-mail:
List coalition members:
Date activity begun and completed: Began: Completed:
Accompanying materials: Newspaper articles
Photographs (with description including names of individuals and affiliations)
Video tape
Letters from local participants
Other:
Number of attendees (excluding organizers):
Organizer's Name:
Organizer's Address:
Organizer's Phone Number:
Was a press release sent out? Yes No