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Lasallian Collegians
Thank you considering being a Lasallian Collegian at this year's Lasallian Youth Assembly in Chicago, Illinois! One of your former teachers sees you as a responsible and valid candidate for this leadership role. Please fill out the information below. Abby Michels, Young Lasallian Coordinator, will be in contact with you after you submit this form. Thanks!
First and Last Name *
Age *
Email *
Phone Number *
Address *
City *
State *
Zip *
High School Attended *
The moderator who recommended you: *
What year are you? *
What makes you interested in being a Lasallian Collegian? *
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