06/07/04? 14 ________________________ _________ _________ __________ Consolidated Application for Selected Federal Programs 2004-2005 LEA Application Waiver Request Form SDFS Promising Program/Activity Profile 1.? Program Name (explain acronyms): 2.? Type of Program: ? Student ATOD Use Prevention ? Student Violence Prevention ? Parent Involvement ? Other (Describe) For Promising Programs/Activities: 3. Is this promising program (check one): ? district-developed? 4.? Primary Target Group(s) to Be Served: Elementary Middle High School Staff _________ _________ _________ Parents _________ _________ _________ Private _________ ______ ___ _________ Other _____________ _________ ______ ___ ...
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