"Regional Heritage Fair (Interim) Participation Report" - New Brunswick, Canada

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Download "Regional Heritage Fair (Interim) Participation Report" - New Brunswick, Canada

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REGIONAL HERITAGE FAIR
(Interim) PARTICIPATION REPORT
Regional Heritage Fair Location : ____________________________________________________________
Physical Address:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
______________________________
Phone: _(___)________________
Fax: _(___)______________
Regional Heritage Fair Coordinator: ______________________________________________
E-mail: ___________________________________
Please add me to the mailing list for New Brunswick’s Heritage On-line Newsletter _______
Host School Principal: ________________________________ District : __________
Total Student Population: ______________ Regional Heritage Fair Grade Range: _______
PARTICIPATING SCHOOLS:
(Name)
(Number of Student Participants)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
REGIONAL HERITAGE FAIR
(answer where applicable)
Date(s) and times: ___________________________________________________________________
Opening Ceremony Date and time:
___________________________________________________________________
REGIONAL HERITAGE FAIR
(Interim) PARTICIPATION REPORT
Regional Heritage Fair Location : ____________________________________________________________
Physical Address:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
______________________________
Phone: _(___)________________
Fax: _(___)______________
Regional Heritage Fair Coordinator: ______________________________________________
E-mail: ___________________________________
Please add me to the mailing list for New Brunswick’s Heritage On-line Newsletter _______
Host School Principal: ________________________________ District : __________
Total Student Population: ______________ Regional Heritage Fair Grade Range: _______
PARTICIPATING SCHOOLS:
(Name)
(Number of Student Participants)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
REGIONAL HERITAGE FAIR
(answer where applicable)
Date(s) and times: ___________________________________________________________________
Opening Ceremony Date and time:
___________________________________________________________________
Award Ceremony Date and time:
___________________________________________________________________
Speakers or VIP guests: ___________________________________________________________________
___________________________________________________________________
Special activities/workshops:
___________________________________________________________________
Publicity: ___________________________________________________________
Does the host site have a Twitter account? (please provide the address): ___________________
Do you wish to order NB Heritage Fair Certificates? Yes ____ No ____ Number: __________
Do you wish to order mini Canada Flags? Yes ____ No ____ Number: __________
Do you wish to order Canada Flag Pins? Yes ____ No ____ Number: __________
Will you hold a judges training session prior to your fair? Yes __ No __ When: ____________
Will you be needing Supply Days? ____________ Total required: _____________(max 4)
* Total number of student participants:
In grades:
* (All students presenting projects individually, in groups, or as a class)
* Number of French Immersion students:
Number of projects:
Number of expected student visitors:
Number of expected parents / guests / community visitors:
Number of volunteers (teachers, judges, etc.) who will work on the Regional Fair:
Estimated number of volunteer hours that will be devoted to the Regional Fair:
Number of Community displays:
TEACHER APPRECIATION NOMINATION (RECOGNIZING 5 YEARS OR MORE
PARTICIPATION):
1. Teacher’s name:______________________________________________________
School:______________________________________________________________
Number of years participated: ___________________________________________
2. Teacher’s name:______________________________________________________
School:______________________________________________________________
Number of years participated: ___________________________________________
3. Teacher’s name:______________________________________________________
School:______________________________________________________________
Number of years participated: ___________________________________________
REGIONAL HERITAGE FAIR BUDGET:
Other Sources of Revenue:
__________
__________
__________
Expenditures:
Equipment Rental
__________
Educational Supplies
__________
Teacher Release Time
__________
Resource Materials
__________
Resource People
__________
Prizes
__________
Shipping of Heritage Fair Project
to Provincial Showcase
__________
Student Transportation
__________
Other (please specify)
__________
__________
Total Expences:
__________
Submitted by: _________________ Date: ________________
PLEASE COMPLETE THIS FORM AND SUBMIT BY MARCH 26 TO:
Cynthia Wallace-Casey
Heritage Branch
Tourism, Heritage and Culture
P.O. Box 6000
(Marysville Place, 20 McGloin Street)
Fredericton, N.B. E3B 5H1
E-Mail:
cynthia.wallace-casey@gnb.ca
New Brunswick’s Heritage Fair Program is a partnership project with Heritage Branch in the
Department of Tourism, Heritage and Culture and the New Brunswick Department of Education and
Early Childhood Development.
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