[Nfb-idaho] nfbi braille-a-thon questionnaire

Susan Ford johnsusanford at earthlink.net
Wed Dec 7 18:33:56 UTC 2016


This is the promised questionnaire to complete for the participants of this
activity. 

1.	Name: 2. Address: 
2.	Phone.4. Email:5. Reading level: Student, Adult beginner (reading
Braille less than a year) Adult, intermediate (reading less than 150 words
per minute) 
			Adult, advanced, (more than 150 words per minute) 6.
Certifying authority: (someone who will keep in touch with you as you read,
and encourage you to get your forms in promptly. 

			Begin reading January 4, 2017
			Stop reading: midnight MARCH 4, 2017
			Deadline for receipt of completed reading log: March
15, 2017 midnight postmark. 
			Your reading log should include: Name of document
read, How many pages you read in it. 
			Include each document name just once and the total
number of pages you read. Total your pages and send it to
johnsusanford at earthlink.net, call it in to me at 208-376-1727, or hand it to
me in Braille. 
			Thanks. 
			Susan Ford 
			 



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