BPS DELAC Registration

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Email *

Title *

Mr.

Mrs.

Ms.

Dr.

Other:

Last Name *

First Name *

Email Address *

Primary Phone Number *

Ethnicity *

American Indian or Alaska Native

Asian

Black or African-American Non Hispanic

Hispanic or Latino

Native Hawaiian or Other

White Non-Hispanic

Other:

Primary Language *

Arabic

Cabo Verdean Creole

Chinese (Cantonese)

Chinese (Mandarin)

English

Haitian Creole

Portuguese

Somali

Spanish

Vietnamese

Other

Role *

Parent

Student

Educator

Community Member

Other:

If you are a parent, which school does your child attend?

If you are a student, which school do you attend?

If you are an educator or community member, where do you work and what is your title?

Any questions or concerns?

Submit

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