MX. MOVIMIENTO 2018 REGISTRATION/INSCRIPCIÓN
The young immigrant's movement needs you. We know that you need leadership skills and we are here to help you develop these skills, so you can find your place in the movement. Plus you will have a chance to win a trip to a national immigrant youth gathering in Miami Florida on Oct 5th, 6th and 7th. In addition you can win $1,000.00 scholarship for college. Join the Arizona Dream Act Coalition in our fight for immigrant's rights.
Email address *
First & Last Name (Nombre y apellido) *
Phone Number. *
Email Address *
Pro-nouns (pronombres)
Are you between the age of 14-19 years old *
Date of Birth ( Fecha de nacimineto) *
MM
/
DD
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YYYY
Are you currently enrolled in school? (estas atendiendo la escuela?) *
If the answer is yes to previous question what school do you currently attend? (Si la respuesta a la pregunta anterior es si, a que escuela vas)
Will you be able to attend all prior meeting and photo shoot session prior to the event? *
Are you able to pay the $100 inscription fee? *
Submit
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