November 2018 Application (youth) - Elm City-UROC

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November 2018 Application (youth)

Thank you for your interest in the Elm City-UROC Undoing Racism™/Community Organizing Workshop November 2-4, 2018. Please note that this workshop is especially geared for youth and people who work with youth. Please complete the following series of questions that will take approximately 5-10 minutes. Are you ready to continue?

This survey is designed for youth and adult applicants.

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First Name

Last Name

Email

Mobile phone (optional)

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Address (Street, City, State, Postal code)

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