Sign Up: April 25 statewide Can We Talk? student dialogue

Event will be 12:15 to 2:15 p.m., Thursday, April 25, on Zoom.

Structured, moderated, small-group dialogue about issues on the minds of Pennsylvania high school students.

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* 1. Your last name

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* 2. Your first name

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* 3. Your preferred email address

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* 4. Your cell phone number (optional, but so we can text you updates)

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* 5. Your high school

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* 6. Are you a ....?

Freshman

Sophomore

Junior

Senior

Adult observer

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* 7. Name of the teacher who invited you

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* 8. How would you describe your political viewpoint? (Optional)

Libertarian

Conservative

Independent

Moderate

Liberal

Socialist

Other

Other (please specify)

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* 9. Your race (optional)

White

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Mixed

Prefer not to say

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* 10. If you have any special needs requiring accommodation on Zoom, please specify.

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* 11. If there's an issue you'd love to see discussed on April 25, please describe it here.

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* 12. What phrase best describes your comfort level in taking part in discussions of politics or current issues?

Shy, reluctant

Comfortable listening, but not eager to speak up

Somewhat comfortable, but check myself sometimes to keep out of trouble

Very comfortable

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* 13. Thank you for signing up. Your teacher who invited you to participate will keep you posted on details as the date approaches. Also look for emails from project director Chris Satullo (csatullo@gmail.com) in the days right before the event. If you have any questions or suggestions about this event, please share them in the text box below. Thanks from Can We Talk? and the Committee of Seventy, PA's oldest good government group.