2008 WE CAN MAKE A DIFFERENCE

2008 - We Can Make A Difference!!

2008 Project Graduation Application
Please fill in all information requested below, then click submit.

High School Name:
Address:
City:
State:
Zip Code:
Telephone:
Fax:
Email:
Principal:
Guidance Counselor:
Number of Grades at School:
Number of Students:
Private or Public School?:
Do you currently sponsor a "Project Grauation" program at your school?:
If yes, how many years have your sponsored such a program?:
If no, are you interested in beginning such a program this year?:
How many students participate in your current "Project Graduation" programs?:
Is your "Project Graduation" program exclusively for Seniors?:
If so, do you have additional programs for other grades?:
Do you think the programs are successful?:
What activities are involved in your current program?:
If you were able to do so, would you expand the current program?:
If you would like to expand, what do you propose to do?:
Offer more dates or more activities on one date?:
What is your current budget for such a program?:
How much additional money do you need to fund the proposed programs?:
What do you propose to do with additional funds?:
Do you need additional personnel to oversee the program?:
Would you like to utilize mentors in your program?:
Who coordinates the programs for your high school?:
How did you hear about the Malt Beverage Education Corporation?:
Are you interested in more information regarding the Corporation?:
Other comments?:

Please note that this form will prompt you to use your default email to
send this application, if you receive an error trying to process, make sure your computer
is not blocking a pop-up window to allow email to access the form.
Having problems with the form?
Please email us here.
You may also print and fax the information to:
(502) 875-2307