Clemente Veteran's Initiative
Registration form for the Clemente Veteran's Initiative humanities course
Email address *
First Name *
Last Name *
Address
City
State
Zip Code
Phone number *
Date of Birth *
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Highest education level
Dates of military service (if applicable) *
Why are you interested in this course? Please write a paragraph describing reasons why this class appeals to you *
What would be the best time to call you for a follow-up conversation? *
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