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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<TITLE>Drop Out Initiative</TITLE>
<META NAME="GENERATOR" CONTENT="Mozilla/3.01Gold (Win95; I) [Netscape]">
</HEAD>
<BODY background="backrnds/top_bg.gif">
<CENTER><P><!-- CookMail complex application --><FORM METHOD=POST ACTION=http://linux.sfps.k12.nm.us/cgi-bin/cookmail><!--#exec cgi="/cgi-bin/cookmail" --><INPUT TYPE=HIDDEN NAME=TO VALUE=vgarcia@mail.sfps.k12.nm.us><INPUT TYPE=HIDDEN NAME=SUBJECT VALUE="Drop out Initiative"><IMG SRC="banners/sfpsfb02.gif" HEIGHT=80 WIDTH=450>
</P></CENTER>
<H2 ALIGN=CENTER>Volunteer to assist Santa Fe Public Schools with its dropout problem.</H2>
<P>
<TABLE WIDTH="100%" >
<tr valign=top>
<td>
Name (Last, First, Mid) <br>
<INPUT SIZE=32 maxlength=32 name="name"></P>
</td>
<td></td>
</tr>
<TR VALIGN=TOP>
<TD>Home Address
<br><INPUT SIZE=40 maxlength=40 name="address"></P>
</TD>
<TD>City/State/Zip
<br><INPUT maxlength=40 SIZE=40 name="city_state_zip">
</TD>
</TR>
</TABLE>
<TABLE WIDTH="100%" >
<TR VALIGN=TOP>
<TD>Business Address
<br><INPUT SIZE=40 maxlength=40 name="Business-address"></P>
</TD>
<TD>City/State/Zip
<br><INPUT maxlength=40 SIZE=40 name="Business-city_state_zip"></P>
</TD>
</TR>
<TR ALIGN=CENTER VALIGN=TOP>
<td>
<P>Position
<br><INPUT SIZE=32 maxlength=32 name="Position">
</td>
</tr>
</TABLE>
<p>Phone Number(s):</P>
<UL>
<UL>
<P>Home Phone
<br><INPUT SIZE=12 maxlength=15 name="Home Phone">
<P>Work Phone
<br><INPUT SIZE=12 maxlength=15 name="Work Phone"></P>
<P>Fax Phone
<br><INPUT SIZE=12 maxlength=15 name="Fax Phone"></P>
Best Time to Call
<INPUT SIZE=32 maxlength=32 name="time-to-call"></P>
</UL>
</UL>
</UL>
<TABLE WIDTH="50%" cellpadding=20>
<TR VALIGN=TOP>
<TD>SFPS Parent
<P><INPUT TYPE="RADIO" NAME=sfps-parent value=yes>Y<INPUT TYPE="RADIO" NAME=sfps-parent value=no>N</P>
</td><TD>
If yes, please list the school your child attends.
<P> <INPUT SIZE=32 maxlegnth=32 name="sfps-parent"></P>
<td>
SFPS Employee
<P><INPUT TYPE="RADIO" NAME=employee value=yes>Y<INPUT TYPE="RADIO" NAME=employee value=no>N
</P>
</td><td>
If yes site of work
<P><INPUT SIZE=32 maxlength=32 name="sfps-employee"></P>
</TD>
</TR>
</TABLE>
<P>
<HR></P>
<P>
<HR></P>
<H3 ALIGN=CENTER>I will help Santa Fe Public Schools' Drop Out Initiative
by Volunteering in the following area(s)</H3>
<TABLE WIDTH="100%" BORDER=10>
<TR ALIGN=CENTER VALIGN=TOP>
<TD>Task Force Member
<P><INPUT TYPE="RADIO" NAME=task-force value=yes>Y<INPUT TYPE="RADIO" NAME=task-force value=no>N
</P>
</TD>
<TD>Developing Partnerships
<P><INPUT TYPE="RADIO" NAME=partnership value=yes>Y<INPUT TYPE="RADIO" NAME=partnership value=no>N
</P>
</TD>
<TD>Mentoring
<P><INPUT TYPE="RADIO" NAME=mentoring value=yes>Y<INPUT TYPE="RADIO" NAME=mentoring value=no>N
</P>
</TD>
<TD>Tutoring
<P><INPUT TYPE="RADIO" NAME=tutoring value=yes>Y<INPUT TYPE="RADIO" NAME=tutoring value=no>N
</P>
</TD>
</TR>
<TR ALIGN=CENTER VALIGN=TOP>
<TD>Working-with-Parents
<P><INPUT TYPE="RADIO" NAME=Working-with-Parents value=yes>Y<INPUT TYPE="RADIO" NAME=Working-with-Parents value=no>N
</P>
</TD>
<TD>Working-in-the-Classroom
<P><INPUT TYPE="RADIO" NAME=Working-in-the-Classroom value=yes>Y<INPUT TYPE="RADIO" NAME=Working-in-the-Classroom value=no>N
</P>
</TD>
<TD>Outreach-to-Drop-outs
<P><INPUT TYPE="RADIO" NAME=Outreach-to-Drop-outs value=yes>Y<INPUT TYPE="RADIO" NAME=Outreach-to-Drop-outs value=no>N
</P>
</TD>
<TD>Other
<P><INPUT SIZE=20 maxlength=32 name="other"></P>
</TD>
</TR>
</TABLE>
<P><CENTER><INPUT TYPE=SUBMIT VALUE=Submit> <INPUT TYPE=RESET VALUE=Reset></CENTER><BR>
</P>
<CENTER><P><BR><HR><P>
<CENTER>
<TABLE BGCOLOR=#FFFFFF BORDER=1>
<TR>
<TD>
<APPLET CODEBASE="/menu" CODE="horizMenu" WIDTH="520" HEIGHT="15">
<PARAM NAME=ver value="1">
<PARAM NAME=copyright VALUE="(c) 1996 Patrick Chan. All Rights Reserved. www.xeo.com">
<PARAM NAME=image VALUE="menu2.gif">
<PARAM NAME=separator VALUE="|">
<PARAM NAME=newline VALUE="^">
<PARAM NAME=font VALUE="Helvetica">
<PARAM NAME=font-height VALUE="11">
<PARAM NAME=marginh VALUE="1">
<PARAM NAME=marginv VALUE="1">
<PARAM NAME=fg-menu-color value="0 0 0">
<PARAM NAME=bg-menu-color value="150 150 210">
<PARAM NAME=fg-hi-menu-color value="0 0 0">
<PARAM NAME=bg-hi-menu-color value="241 255 17">
<PARAM NAME=bg-color value="255 255 255">
</APPLET>
<APPLET CODEBASE="/menu" CODE="horizMenu" WIDTH="520" HEIGHT="45">
<PARAM NAME=ver value="2">
<PARAM NAME=copyright VALUE="(c) 1996 Patrick Chan. All Rights Reserved. www.xeo.com">
<PARAM NAME=image VALUE="menu.gif">
<PARAM NAME=separator VALUE="|">
<PARAM NAME=newline VALUE="^">
<PARAM NAME=font VALUE="Helvetica">
<PARAM NAME=font-height VALUE="11">
<PARAM NAME=marginh VALUE="1">
<PARAM NAME=marginv VALUE="1">
<PARAM NAME=fg-menu-color value="0 0 0">
<PARAM NAME=bg-menu-color value="150 150 210">
<PARAM NAME=fg-hi-menu-color value="0 0 0">
<PARAM NAME=bg-hi-menu-color value="241 255 17">
<PARAM NAME=bg-color value="255 255 255">
<HR NOSHADE>
</APPLET>
</TD>
</TR>
</TABLE>
</CENTER>
<P>
</P></CENTER>
<CENTER><P>Copyright &copy; 1997, 1998 Santa Fe Public Schools<BR>
Last revised: July 7, 1998 by <A HREF="MAILTO:webteam@mis.sfps.k12.nm.us">The
Webteam</A> </P></CENTER>
<CENTER><P></FORM></P></CENTER>
</BODY>
</HTML>