UPRISE 2018 Registration Form
UPRISE 2K18
Email address *
First Name *
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Last Name *
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You are attending UPRISE as a *
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What city do you live in? *
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What is your Zip Code? *
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Phone Number
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School/College Attended *
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Highest Education Level *
Ethnicity *
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How did you hear about UPRISE? *
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What are three things you feel would most help support you, your child, or students in education?
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