Last Name    First Name    ID # 

SHARE Agency  Select One Advance Preschool Alexian Brothers A. Campanelli YMCA Almost Home Athletico Barn/Teen Center Blackwell Elementary Bode Preschool Brighton Gardens Calvary Community Church Children's Advocacy Center Children's Christian Learning Center Church of the Cross Church of the Holy Spirit ESL Church of the Holy Spirit Food Pantry Clearbrook Center Community Resource Center Dirksen Elementary District 54 Nature Center District 54 Special Olympics Dooley Elementary Eisenhower JR High Friendship Village Gifts of the World Great Beginnings Child Care Hanover Highlands Elementary Hanover Highlands Elementary Hanover Park Park District Home of the Sparrow Jennifer Kids Learning Center Kindercare Bode Rd. Kindercare Jones Rd. Kindercare 746 Westover Lane Lexington Healthcare Center Life Source Hoffman Estates Lincoln Prairie School Little City Living Hope Church PADS Manor Care Marklund Home Meadows Senior Care Midwest Physical Therapy Nathan Hale School NW Special Recreation Poplar Creek Prairie Stewards Prince of Peace Lutheran Church PADS Read to Learn Schaumburg Academy of Music SHS Applied Tech SHS Athletic Study Hall SHS Athletic Trainer SHS ESL English Tutor SHS Math Dept. Tutoring SHS Mutliply Challenged Schaumburg Park District CRC Special Events Schaumburg Park District Celebrations Unlimited Schaumburg Park District CRC/Cultural Arts Schaumburg Park District KASPER Schaumburg Fire Department Schaumburg Police Department Schaumburg Library Audio Visual Schaumburg Library Computer Assistance Schaumburg Library Adult Services Schaumburg Library Youth Services Schaumburg Library Hanover Branch Schaumburg Library Readers Services Shelter Inc. Thrift Shop Spectrum Youth and Family Services Spring Valley Conservation/Greenhouse/Grounds Spring Valley Farm Maintenance Stevenson School St. Marcelline Catholic Church St. Peter's Tutoring St. Peter's Preschool Sunrise Assisted Living Sunrise/Brighton Gardens Village of Schaumburg Engineering/Public Works Village of Schaumburg Community Development Village of Schaumburg Transportation Village of Schaumburg Finance Vogelei Teen Center WINGS Program Other      Agency Contact Person   

Agency Contact Phone #     Agency E-Mail 

Semester  Select One First Semester Second Semester   Course  Select One Survey Econ/Govt AP Econ/Govt   Teacher  Select One Baxter Cassidy Howard Keller Koller Lazzara Westlund   Period  Select One 1 2 3 4 5 6 7 8

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