资源描述：
《ca09-hollow-hills-fundamentaldoc：ca09中空丘陵fundamentaldoc》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。
1、2004-2005NoChildLeftBehind-BlueRibbonSchoolsProgramU.S.DepartmentofEducationCoverSheetTypeofSchool:XElementary__Middle__High__K-12NameofPrincipalMrs.BarbaraPatten(Specify:Ms.,Miss,Mrs.,Dr.,Mr.,Other)(Asitshouldappearintheofficialrecords)OfficialSchoolNameHollowHillsFundamenta
2、lSchool(Asitshouldappearintheofficialrecords)SchoolMailingAddress__828GibsonAvenue_______________________________________________(IfaddressisP.O.Box,alsoincludestreetaddress)SimiValleyCA93065-5665CityStateZipCode+4(9digitstotal)CountyVenturaSchoolCodeNumber*56726036055701Tele
3、phone(805)520-6720Fax(805)520-6106Website/URLwww.hollowhills.simi.k12.ca.usE-mailbpatten@simi.k12.ca.usIhavereviewedtheinformationinthisapplication,includingtheeligibilityrequirementsonpage2,andcertifythattothebestofmyknowledgeallinformationisaccurate.Date____________________
4、________(Principal’sSignature)NameofSuperintendent*Dr.KathrynScroggin(Specify:Ms.,Miss,Mrs.,Dr.,Mr.,Other)DistrictNameSimiValleyUnifiedSchoolDistrictTel.(805)520-6500Ihavereviewedtheinformationinthisapplication,includingtheeligibilityrequirementsonpage2,andcertifythattothebes
5、tofmyknowledgeitisaccurate.Date____________________________(Superintendent’sSignature)NameofSchoolBoardPresident/ChairpersonMrs.JaniceDiFatta(Specify:Ms.,Miss,Mrs.,Dr.,Mr.,Other)Ihavereviewedtheinformationinthispackage,includingtheeligibilityrequirementsonpage2,andcertifythat
6、tothebestofmyknowledgeitisaccurate.Date____________________________(SchoolBoardPresident’s/Chairperson’sSignature)*PrivateSchools:Iftheinformationrequestedisnotapplicable,writeN/Ainthespace.22PARTI ELIGIBILITYCERTIFICATION[Includethispageintheschool’sapplicationaspage2.]Thesi
7、gnaturesonthefirstpageofthisapplicationcertifythateachofthestatementsbelowconcerningtheschool'seligibilityandcompliancewithU.S.DepartmentofEducation,OfficeofCivilRights(OCR)requirementsistrueandcorrect.1.TheschoolhassomeconfigurationthatincludesgradesK-12.(Schoolswithoneprinc
8、ipal,evenK-12schools,mustapplyasanentireschool.)2.Theschoolhasnotbee
