MICHIGAN
ONE-ROOM SCHOOLHOUSE - SURVEY II
Please submit one questionnaire
per schoolhouse - you may print as many copies of this mail-in form as required |
| Name(s) of school
(Historic/Current)___________________________/___________________________ |
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| Location_____________________________________________________________ |
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| Mailing address________________________________________________________ |
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| County/District No._________________________/____________________________ |
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| Please submit recent photos, historic photos, roster, detailed
histories, & other documentation whenever possible. Remember to send copies only
of original documents and photos. Return of items submitted cannot be guaranteed. |
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| Years in use _____ to _____ Type of construction (brick,
frame, etc.)______________ |
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| Current use______________________________ Building
Condition_______________ |
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| Current owner(s)_______________________________________________________ |
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| Mailing Address________________________________________________________ |
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| To your knowledge, was this building included in the 'original' Michigan
One-Room Schoolhouse Survey? Yes______ No______ |
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| Contact person & organization conducting
survey_______________________________ |
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| Address______________________________________________________________ |
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| Phone______________ FAX______________ |
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| If subject building is being restored as a one-room schoolhouse, please fill in
the following information: |
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| Items needed: Desks______ Slates______ List other
items_________________________ |
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| Extra items of interest to others (for sale or may be considered in
trade)________________________________________________ |
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| Publications/sources that helped in researching, restoring, or furnishing
subject schoolhouse_____________________________________________ |
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| Return completed survey and other support documentation to: |
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| Michigan One-Room Schoolhouse Association, c/o: Greenmead, 20501 Newburgh
Rd, Livonia, Michigan 48152 Attention: Suzanne Daniel, Secretary |
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| Survey Results received will be recorded and turned over to Michigan One-Room
Schoolhouse Survey Committee for further review and processing. Survey Results are
intended to update and supplement original findings of the One-Room Schoolhouse Project
sponsored by the Historical Society of Michigan |
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