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Empower Youth Voices: Close Up & Malone Schools
Thank you for your interest in Close Up and the Malone Schools' Empower Youth Voices Programs for the 2021-2022 school year. These programs are open to students in 9th and 10th grade. Please complete the survey below to indicate which programs you would be interested in sending a student cohort to next school year.
Name
*
First
Last
School Name
*
Position
*
Address
*
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Email
*
Phone
*
How many students are you interested in sending to the Empowering Youth Voices: Deliberative Democracy program beginning on October 26th?
*
How many students are you interested in sending to the Empowering Youth Voices: Deliberative Democracy program beginning on October 26th?
One Cohort of 6 Students
Other
Number of Students Interested
Do you know who the coordinator will be at the school?
*
Do you know who the coordinator will be at the school?
Yes
No
Maybe
Coordinator Name
Are you interested in joining an informational webinar in September?
*
Are you interested in joining an informational webinar in September?
Yes
No
Maybe
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