2018 Encampment for Citizenship Application
Please complete each section attached to this application.
Name *
Address *
City, State, Zipcode *
Date of birth *
MM
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DD
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Your email *
Phone number(s) and best time to reach you. *
Place of birth *
How do you describe your racial/ethnic/gender identity? Your answer will help us ensure that the Encampment community includes people from many different backgrounds. *
Please list your parent/guardian(s) and their relationship(s) with you (example: mother, aunt, etc.) *
Guardian(s) occupation(s) *
Guardian(s) email(s).
Best Phone Number and time to reach your parent(s)/guardian(s). *
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