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BTOR-ADULT INTENSIVE 2019-2020

Thank you for applying to participate in the 2019-2020 Black To Our Roots Adult Intensive Program! BTOR Adult Intensive is an online-based travel-study program that teaches the cultural legacy of African people, with a specific focus on the Americas and Western Africa. This program begins with an intensive 9-month course, between January 2020 and October 2020, that introduces various Pan-African concepts and explores opportunities for business development. BTOR-AI culminates in a 14 day travel-student to Ghana, West Africa in October 2020. Some course topics include:

* CULTURAL EDUCATION WORKSHOPS
* OPTIONAL AKAN LANGUAGE SESSIONS
* HOLISTIC LIVING PRACTICES (in Ghana)

Please fill out this application COMPLETELY.

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* 1. PLEASE SHARE THE FOLLOWING INFORMATION ABOUT YOURSELF.

Name:

Birthdate:

Ethnicity:

Address:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

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* 2. EMERGENCY CONTACT INFORMATION: In case of emergency, we need information of a family or friend we may contact.

Name:

Relationship to you

Address:

Address:

City/Town:

State:

ZIP:

Country

Email Address:

Phone Number:

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* 3. Please explain why you want to be a part of the Black To Our Roots Adult Intensive Prorgram and why you would be a good fit for the program.

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* 4. Your participation in our final online information session is required for your consideration to be a part of the program. Please indicate which online session you will be able to attend.

Wednesday: September 18, 2019 - 7PM-9PM EST