Registration for Latino Role Models - Registrarse para la conferencia
This exciting FREE annual conference features Latino/a college students and professionals and workshops inspiring students to achieve their dreams for college and career. The conference is conducted in Spanish with English translation. Please complete the registration below to ensure your spot at this year's conference on February 27th
Esta emocionante conferencia anual GRATUITA presenta a estudiantes y profesionales latinos / a universitarios y talleres que inspiran a los estudiantes a alcanzar sus sueños universitarios y profesionales. La conferencia se lleva a cabo en español con traducción al inglés. Complete el registro a continuación para asegurar su lugar en la conferencia de este año el 27 de febrero.
* Required
Email address
*
Your email
If you would like to receive updates by text, please share your cell number below. Si deseas recibir actualizaciones por texto, por favor comparte tu número celular.
Your answer
Nombre/Name
Your answer
Si estás participando con tu familia u otros, cuántas personas estarán presente? If you are participating with your family or household, how many people will be joining you?
1 /Solamente 1
2 including myself/2 incluyéndome a mí mismo
3 including myself/ 3 incluyéndome a mí mismo
4 including myself/ 4incluyéndome a mí mismo
more than 4 including myself/mas de 4 incluyéndome a mí mismo
Other:
Cuéntanos un poco sobre ti mismo: Yo soy un/una... Tell us a little bit about yourself: I am a ...
Choose
Miiddle school student/estudiante de colegio
High school student/estudiante de secundaria
College student/estudiante universitario
Parent/padre or madre de familia
Educator/educadora
Community member/miembro de la comunidad
Si eres estudiante, ¿a qué escuela asistes? If you are a student, please tell us which school you attend.
Choose
Any elementary school/cualquiera escuela primaria
Aptos Junior High School
Branciforte Middle School
Cesar Chavez Middle School
E.A. Hall Middle School
Lake View Middle School
Mission Hill Middle School
New Brighton Middle School
Pájaro Middle School
Rolling Hills Middle School
San Lorenzo Valley Middle School
Scotts Valley Middle School
Shoreline Middle School
Aptos High School
Ceiba Charter School
Cypress Charter School
Delta Charter School
Diamond Tech Charter School
Harbor High School
Pacific Coast Charter
Pacific Collegiate Charter School
Pajaro Valley High School
PVUSD Virtual Academy
Renaissance High School
San Lorenzo Valley High School
Santa Cruz High School
Sequoia High School
Scotts Valley High School
Soquel High School
Watsonville High School School
Cabrillo College
CSUMB
USCS
Not a student/No soy estudiante
Other
¿Qué estás esperando para el dia de 27 febrero? What are you looking forward to on February 27th?
Professional panel/panel de profesionales
Key Note Speaker Dr Manuel Pastor/Orador Principal Dr Manuel Pastor
Workshops /Talleres
Student voices/voces de estudiantes
Baile folklorico performance
Other:
Cómo te enteraste de la conferencia de modelos latinos? Puedes indicar más de una respuesta. How did you hear about the Latino Role Model Conference? May check more than one option.
School/Escuela
Senderos
Social media/redes sociales
Family or friends/Familia o amigos
other/otra manera
Submit
Never submit passwords through Google Forms.
This form was created inside of Santa Cruz County Office of Education.
Report Abuse
Forms