Latinx Scranton: Participation Form
To participate, please complete the form below.  Your information will not be shared; only the project coordinator, Dr. Aiala Levy (History Department, University of Scranton), has access to this form.  Please contact Dr. Levy at aiala.levy@scranton.edu if you have any questions.  Thank you!
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Name *
Phone number
Preferred method of contact *
Check all that apply
Required
Are you able to meet for interviews on the University of Scranton campus (800 Linden St., Scranton, PA 18510)? *
Interviews will consist of 2-3 meetings.
How comfortable do you feel responding to interview questions in English? *
NOT AT ALL (Prefiero responder en español / Prefiro responder em português)
VERY COMFORTABLE
If you selected 1, 2, or 3 in the previous question, which language are you most comfortable speaking?
Clear selection
Submit
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