PUBLIC HEARING REPLY FORM

Persons presenting testimony at the public hearing on the Enrollment and Transportation of Homeless Students in Public Schools are requested to complete this reply form as soon as possible and mail or fax it to:

Marty Karlavage
Special Assistant for Education
Assemblyman Steven Sanders
250 Broadway, Room 2234
New York, New York 10007
Email: mkarlavage39@hotmail.com
Phone: (212) 312-1464
Fax: (212) 312-1479


box I plan to attend the following public hearing on the Enrollment and Transportation of Homeless Students in Public Schools to be conducted by the Assembly Committee on Education on May 13, 2005.

box I wish to make a public statement at the hearing on the Enrollment and Transportation of Homeless Students in Public Schools to be conducted by the Assembly Committee on Education on May 13, 2005. My statement will be limited to 10 of minutes, and I will answer any questions which may arise. I will provide 10 copies of my prepared statement.

box

I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:




NAME:

TITLE:

ORGANIZATION:

ADDRESS:

E-MAIL:

TELEPHONE:

FAX TELEPHONE:

Back