March 31, 2012-Boys of Color III: Warriors for Positive Change Registration

Community conversations and symposiums of the African-American and Latino communities have led us to this point... an opportunity for Detroit's black and brown young men together to lift up their voice about issues and concerns as they see them.

Saturday, March 31, 2012, 9:00 a.m. - 3:30 p.m.
Wayne County Community College District, 1001 West Fort Street, Detroit

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* 1. Please complete the following information.

*First name:

*Last name:

Organization or Community:

Mailing Address:

City:

State:

Zip Code:

*E-mail address:

Phone number:

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* 2. I most strongly identify with this issue as:

a parent

an educator

a youth development professional

a funder

a government representative

other policy or systems influencer

a concerned community member

a youth

Other (please specify)

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* 3. Youth will play an integral role in this conference. As a youth-serving organization, we would ask that you bring no more than 10 boys, ages 11-18, to join us for the day. How many youth do you plan to bring with you?

Number of youth:

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* 4. Please provide youth participant names, if available:

10)

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* 5. If you would like to share information about your organization, please complete the following:

Organization Mission:

Organization Website:

Programs/services provided that target black and brown boys: