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School/ Organization Name
*
Name
*
City
*
Work Phone
*
Cell Phone
*
Email
*
How many teachers/ chaperones will be in attendance?
*
How many students will be in attendance?
*
What is the grade level of the students who will be attending?
*
How many tours would you like to schedule?
*
We would like to visit a/an:
*
attraction (amusement park, golf course, ski resort)
food distributor (incubator site, US Foods)
hotel
restaurant
other
We are interested in visiting the following locations.
We can travel:
*
less than 25 miles
26-50 miles
more than 50 miles
We can schedule tours on the following dates:
*
Do you need transportation assistance? Our Transportation Sponsor, Performance Foodservice- NorthCenter, provides $150 to the first 10 requests. An invoice will need to be sent to the NHLRAEF for reimbursement.
*
Yes
No
Please add any additional comments or questions.
Submit
In order to complete your application, please send your two most recent paystubs to Amie Pariseau at
apariseau@nhlra.com.
Applications will not be considered without two recent payments.
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