The TEXSYN Project



The TEXSYN Project

Participating Site Details

FY17 (Sept 2016 – Aug 2017)

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Organization Name: _____________________________________________________________

Person Responsible for TEXSYN Oversight: ________________________________________

Email for Person Responsible for TEXSYN Oversight: _______________________________

Phone Number for Person Responsible for TEXSYN Oversight: ______________________

To confirm an organization’s number of eligible sites, contact the Alliance office at 512-301-7771.

|Club/Unit Name | |

|Physical Address | |

|City, Zip | |

|County | |

|Counties this site services | |

|BGC Type (school site, traditional, public housing, etc.)| |

|School Districts this site services | |

|Avg. Daily Attendance (school year) | |

|Hours of Operation | |

|Program Director’s Name & email address (at this site) | |

|Names of other staff that will be working with TEXSYN at | |

|this site | |

|Club/Unit Name | |

|Physical Address | |

|City, Zip | |

|County | |

|Counties this site services | |

|BGC Type (school site, traditional, public housing, etc.)| |

|School Districts this site services | |

|Avg. Daily Attendance (school year) | |

|Hours of Operation | |

|Program Director’s Name & email address (at this site) | |

|Names of other staff that will be working with TEXSYN at | |

|this site | |

|Club/Unit Name | |

|Physical Address | |

|City, Zip | |

|County | |

|Counties this site services | |

|BGC Type (school site, traditional, public housing, etc.)| |

|School Districts this site services | |

|Avg. Daily Attendance (school year) | |

|Hours of Operation | |

|Program Director’s Name & email address (at this site) | |

|Names of other staff that will be working with TEXSYN at | |

|this site | |

|Club/Unit Name | |

|Physical Address | |

|City, Zip | |

|County | |

|Counties this site services | |

|BGC Type (school site, traditional, public housing, etc.)| |

|School Districts this site services | |

|Avg. Daily Attendance (school year) | |

|Hours of Operation | |

|Program Director’s Name & email address (at this site) | |

|Names of other staff that will be working with TEXSYN at | |

|this site | |

|Club/Unit Name | |

|Physical Address | |

|City, Zip | |

|County | |

|Counties this site services | |

|BGC Type (school site, traditional, public housing, etc.)| |

|School Districts this site services | |

|Avg. Daily Attendance (school year) | |

|Hours of Operation | |

|Program Director’s Name & email address (at this site) | |

|Names of other staff that will be working with TEXSYN at | |

|this site | |

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