Caring for Maine's Underserved

To report participation numbers for ACES Day, please complete the form below.

This information helps us in our evaluation process and also allows us to provide you with a special ACES participation certificate signed by the Governor.

* denotes a required field

First name:	*
Last name:	*
Title:
School:	*
Street address:	*
Street address 2:
City:	*
State:	*
Zip:	*
Phone:	*
Email:	*

Number of Children Who Participated:	*
Grade Level of Participants:	*
Number of Staff/Adults Who Participated:	*
Did your principal take part in the event:	Yes No
Your superintendent:	Yes No
Please described some of the activities that took place this year:
Did you use the ACES Resource manual to help plan your event:	Yes No
Can we quote you? Please provide any comments you might have regarding ACES Day at your school. Comments may be used in future ACES materials.

Online Participation Reporting

ACES Day

May 6th, 2009