EMPUJE / Jovenes Activos Interest List 
EMPUJE Meetings: Tuesdays 9am-11am in person 5pm-7pm though Zoom

Jovenes Activos Meetings: Thursdays: 4:30pm-6:30pm in person @ Quetzal Gardens 

Thank you for your interest in EMPUJE and Jovenes Activos. Please fill out the items below and we will contact you in a timely manner. 

Gracias por su interés en EMPUJE y Jovenes Activos. Por favor llene la forma abajo y nosotros nos conectaremos con usted. 

Questions/Preguntas: Laura Aguirre (408) 375-1153 
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Which program are you interested in joining? 
?Cual programa estan interesados en participando?
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Name and Phone number/ Nombre y Numero de Telefono *
School of your student attends/ Escuelda de su estudiante.
School you're currently attending/ Escuela que están atendiendo. 
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