Idea4Idea- Print I4I Form to Send In Ideas and Actions

I4I FORM- Basic Information

Name(s) of Person(s) having the Idea or doing the Action (Optional/ Not Posted):

Age (or Ages, if Group) of Person(s) having the Idea or doing the Action (REQUIRED):

Email Address (REQUIRED) (If this form is paid for online or there is a current Subscription being used to pay for the form, the email address entered below must match the email address used to pay online or used when buying the current Subscription):

**If you do not have an email address, you can get one for free at www.yahoo.com or from another source. The email address will not be posted on the I4I website.

School/ Class/ Grade-Level/ Group Name of Person(s) having the Idea or doing the Action:
Enter the name of your school and/or your class and/or your grade-level or the name of your group/organization.

Check "Yes" below if you give permission to post your school, class, grade-level, group, or organization name on the I4I website:

___ YES

___ NO

Basic Location Information of Person or Group having the Idea or doing the Action (enter below) (REQUIRED):
Enter ONLY your City, State, Country.

We will only post BASIC LOCATION information on the website (not mailing address info).

***Only Basic Location Information is REQUIRED.

Optional: Provide Mailing Address (Street#, City, State, Country, Zip, Other) of Person or Group having the Idea or doing the Action.

I4I FORM- Your Idea or Action:

IDEA or ACTION of the Person or Group above:

Check below if you are sending an IDEA or an ACTION (or BOTH, if you did the Action based on an Idea you had).

_____ Idea _____ Action _____ Both

Write your Idea or Action in the space below. Your words need to fit the space.

KEY WORDS (up to 10):
Enter up to 10 key words that best describe your Idea or Action.

Enter the Registration #s (from the I4I Website) of any I4I Ideas or Actions that Inspired the Idea or Action:

Impact Level (enter in space provided below).
**Only enter an Impact Level if you are sending in an Action (not an Idea) on this form.
Enter the Impact Level that best describes your Action based on the following definitions:

Level 1 = impact on 1 person
Level 2 = impact on a group or groups of people
Level 3 = impact on an entire town or city (name the town or city)
Level 4 = impact on a county or region of a state (name the county, region, state)
Level 5 = impact on a state (name the state)
Level 6 = impact on more than one state (name the states)
Level 7 = impact on a country (name the country)
Level 8 = impact on more than one country (name the countries)
Level 9 = Other type of impact- please describe.

Also, describe the impact of your Action on others and, for Levels 3-8, describe what documentation you have (ex. recognitions, articles), if any, to show the impact of your Action.

Check Below the Category for your Idea or Action (check all that apply) (REQUIRED):

_____   PEACE

_____   GREEN-LIVING

_____   HEALTH

How You are Paying (Check One Response Below) (REQUIRED):

___ My $1.00 payment or Gift Certificate for that amount is mailed with this form.

___  I am using a current 1-year Subscription (the email address entered above must match the email address used when buying the Subscription).

___  Payment of $1 is being made through the Online Store (the email address entered above must match the email address used to make the online payment).

___ I am using a Gift Certificate to pay online (the email address entered above must match the email address used when paying with the Gift Certificate online).

More information about "How to Pay" is at the top of this webpage.

***YOUR PROMISE***

By submitting this form you attest that you are taking full responsibility for all the information you provided on this form. You attest that the information is true and accurately describes the Idea or Action (and Impact). You also submit and give permission to Idea4Idea (I4I) to post the Idea or Action (and Impact), key words, age and basic location information, and school/class/group (if permission is given on the form) on the Idea4Idea website. You understand and agree that your Idea or Action will not be reviewed or approved for posting if you do not follow the I4I Rules for the Ideas and Actions as stated on the Idea4Idea website. You agree to share freely your Ideas and Actions as submited on this Form for the worldwide audience to see, copy, use, and act upon to spread your Ideas and Actions as much as possible.

Your Signature: ______________________________________________

Date: ____________________

Print this form by clicking on "Show a print version" at the bottom of the form.

Fill It In, Be Sure to Sign and Date, Take Care of the Payment, and Mail to:

I4I
P.O Box 50524
Austin, Texas 78763

Show a print version