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NSBE Jr. of SoCal Scholar Registration (2022/23 SY) & Acknowledgement Form 
This is your official NSBE Jr. of Southern California Membership Registration and Acknowledgement Form.
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Student name *
Student Date of Birth *
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/
DD
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Gender
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Student School (please include city) *
School District (if applicable) *
Student Grade in 2022-23 (school year) *
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