MASCA Counselor of Color Affinity Group Interest Form

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Thank you for your interest in MASCA and being involved with a Counselor of Color Affinity Group. Please complete this brief form and attend our first informational meeting on Thursday, October 27 at 3:30 PM if you can. If you have any questions about the meeting or this group, please contact Bob Bardwell, Executive Director (executivedirector@masca.org).

First Name *

Last Name *

Email Address *

Are you currently a MASCA member?
*

Yes

Unsure

Current position/Student status
*

Current School/District
*

What questions (if any) do you have about the CoC Affinity Group?

I am interested in the group. In regard to the Thursday, October 27 meeting....
*

I can definitely attend

I am uncertain if I can attend at this time

I am not able to attend but definitely want more information about the CoC Affinity Group

Other:

I might be interested in co-leading this group.

Yes

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