ACN Registry

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* 1. Name of Organization*

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* 2. Contact Name*

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* 3. Contact Title*

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* 4. Contact Email Address*

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* 5. Contact Phone Number*

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* 6. Mailing Address*

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* 7. Please Provide Your Organization's Mission Statement*

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* 8. Brief Description of Programs/Services currently offered to LAUSD Students*

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* 9. Brief description of populations served* (grade level, demographic, Title 1, etc)

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* 10. Briefly describe where you offer your programs/services* (in-school, after-school, at your site, etc)

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* 11. State how LAUSD can best support your organization to better serve its LAUSD students*

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