PAMANA HIGH SCHOOL LEADERSHIP EVENT FORM 
Hello! 

Please fill out this google form about our High School Leadership event -- you can nominate a high school student, or fill the form out for yourself! 

Event information: The purpose of the event is to support Filipino American high school students across New England during this event through a Surviving vs. Thriving workshop and being able to ask questions of a panel of Filipino Americans who are in different careers. We will also be introducing you all to PAMANA Cares! As an organization we come together and create care packages of groceries to give to those in need. After we finish building the packages, we deliver or ship them all across New England! 

This event is on January 25, 2025 @ Tufts University in Medford, MA from 10am-3pm.

If you have any questions you can contact me at 
stacey@pamanainc.org.

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Will you be attending the leadership event at Tufts?  *
What is your name and/or your preferred name?  *
What are your pronouns?  *
What is a good email to reach you at?  *
What is a good phone number to reach you at?  *
What grade are you in? *
What high school do you attend?  *
Are you involved in any Fil-Am organizations? 
Do you have any allergies? *
If you do have allergies, what are they? 
Do you plan on going to college? 
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Emergency Contact information. Please include the following:  
Contact Name 
Relationship 
Phone number 
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