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Close Up Youth Summit Registration (DOI)

 

The Close Up Foundation is pleased to partner with the Department of Interior, Office of Insular Affairs to conduct Youth Leadership Summits in Guam, CNMI, and the U.S. Virgin Islands. To participate in the program, please complete the registration form below. If you have any questions, please contact us at support@closeup.org.
Student Name(Required)
Parent/Guardian Name(Required)
MM slash DD slash YYYY
Name of Close Up Teacher(Required)

For educational and funding reporting purposes, Close Up requests that you provide the following demographic information. Such information will remain confidential and will not be used at any time for selection or placement criteria for the Close Up programs. Please complete all items below. Your cooperation is greatly appreciated.

1. Are you are a member of a farm/migrant community?(Required)

2. Which best describes your school district?(Required)

3. Are you Hispanic or Latino?(Required)

4. Which best describes you?(Required)

5. Are you a citizen of the United States?(Required)

I have read and agree to the Terms and Conditions.

Register me as a Close Up alum for access to the Alumni Newsletter and professional network!

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Arlington, VA 22203

703-706-3300 or 800-CLOSE UP

CST-1002082-40:
Registration as a seller of travel does not constitute approval by the State of California.

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