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Youth Advocacy Student Communication Form
Please complete this form and provide as much information as possible. We will respond in the way you select below.
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Email
*
Your email
Your First and Last Name:
*
Your answer
Your School ID number:
*
Your answer
What is the name of your school?
*
Your answer
Your Email Address (Please use personal email if possible.):
*
Your answer
What is the best way to connect with you?
*
Email
Text
Phone Call
Zoom Meeting
In-person Meeting
Other:
Please provide your phone number if text or call was selected in the last question.
Your answer
Please describe the question/comment/challenge/concern/need that you want to connect with us about.
*
Your answer
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