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2017 Diversity Justice Day for Youth Student Registration
Please complete the registration form and submit a signed parent/guardian permission form to your school.
*** SkillSource and WVC college students do not need to submit a parent/guardian permission form****.
Student Last Name
Student ID #
Race/Ethnicity (Please check all that apply to you
Central American (Guatemalan, Salvadorian, Honduran, Nicaraguan, Costa Rican, Panamanian)
South American (Colombia, Ecuador, Peru, Brazil etc)
Native American/Alaska Native
Native Hawaiian or Pacific Islander
I choose not to disclose
Wenatchee High School
WestSide High School
Wenatchee Valley Tech
Eastmont (GEAR UP)
Wenatchee Valley College
How did you learn about this event?
Wenatchee Learns Website
Have you attended Diversity Justice Day before?
No, this is my first time
Which of the following careers pathways are you interested in?
Public safety (example: immigration and customs inspector, security officer or loss prevention specialist)
Law enforcement services (example: police, sheriff, state patrol and FBI)
Legal services (example: paralegal, attorney and judges)
Clerk services (example: court clerk, legal secretary and court interpreter)
Correction services (examples: probation/corrections officer, payroll office )
Have you turned in a parent/guardian permission form?
Does Not Apply - WVC College Student
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