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United Way of Passaic County

Thank you for taking our survey!
You will be entered to win a $50 gift certificate for classroom supplies!

Teacher Feedback

Thank you for taking the time to help improve our annual Backpacks for Kids! Project.

First Name*

Last Name*

Address 1*

Address 2

City*

State*

Zip*

Phone*

Email*

School Name*

Your Grade*

Can you describe in 1-2 sentences what it means to the students and you?

Is this project helpful

Yes
No

Please check the five school supplies you are most interested.

Composition books
Single/multi subject notebooks
Looseleaf paper
Pocket folders
24 pack crayons
12 pack crayons
Markers
Safety scissors
Bottled glue
Watercolor paints
Drawing paper
Pencils
Pencil sharpeners
Erasers
Ink pen
Ruler
Calculator

We would like to support you throughout the year. Please check which projects you are interested in

Adding books to you classroom Library
Classroom volunteers
Holiday gifts for students in need
School food-producing gardens

Additional feedback you would like to provide: