September 2019 Application - Elm City-UROC

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September 2019 Application

1. Thank you for your interest in the Elm City-UROC Undoing Racism™/Community Organizing Workshop September 12-14, 2019. Please complete the following series of questions that will take approximately 5-10 minutes. Are you ready to continue?

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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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