Cover

Cover Page -- 2008 Surrogate Parent Program Proposal:

Name of Organization Acting as Fiscal Agent: Cuyahoga Falls City School District	See About Us.
Program Director: Georgeann Pinter	Position: Parent Mentor
Address: 2222 Issaquah St. Cuy. Falls, OH	44221 See Find Us.
Phone #: 330-926-3800	Fax #:
E-mail Address: cf_pinter@cfalls.org
Additional Contact: Dr. Phil Martucci	Phone #: 330-926-3800 x502043
Dates of Program: See Schedule.
First Choice	Second Choice
Enrollment Range	Cost per Pariticipant

Signatures:

To the best of my knowledge, the information contained in this application is correct and complete.

Program Director Name & Title:	Signature:	Date:
	_________________________________	____ - ____ - ____
Authorized Administrator:	Signature:	Date:
Dr. Holland - CEO of School District	_________________________________	____ - ____ - ____

Approval:

Approved Amount ______________

For Fiscal Year:___________

Tom Lather, Associate Director

Date:

_____ - ____ - ______