LOT 2025-2026 Application 
ramona.clayton@gmail.com
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Email *
RaMona Clayton
NOTE: The RDU-Triad Chapter of the National Black MBA Association, Inc. takes precautions to help ensure the safety of each student in our program.  Each committed LOT volunteer has been subjected to a criminal background check at the local courthouse in which he or she resides.  
No *
No
Yes
Does student attend school in Wake County?
Photo Consent:
The Raleigh/Durham_Triad Chapter of the National Black MBA Association (and by affiliation the National Black MBA Association) has my permission to use my or my child’s photograph/video publically to promote the organization(s). I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

*
Answering below constitutes your signature, and consent or non-consent as parent/guardian of the LOT student in this application.
Confirm that you will DOUBLE CHECK the spelling/accuracy of all answers and register each LOT student individually. *
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