Continuing Education

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1. Extension Classes

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2. Personal Information:

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3. Date of Birth: (Required.)

Date

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4. I've taken classes at LCOOU in the past

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5. Address: (Required.)

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6. What is your gender identity?

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7. Race: (Required.)

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8. Tribe

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9. What is your ethnicity? (Please select all that apply.)

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10. Parent Name

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11. Parent Phone

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12. LCOOU Lac Courte Oreilles Ojibwe University: Release Form - Audio & Visual Materials (Required.)

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13. Summer Youth FAHN Club, Grades 6-8. M-Th 6/15-7/2, 9am-12:30pm

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14. Student Name

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15. Date of Birth

Date

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16. Address

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17. Parent/Guardian

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18. Parent Email

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19. Parent Cell#

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