Introduction

The Popular Education Network of the Religious of the Sacred Heart in collaboration with ARISE (A Resource in Serving Equality) and MACC (Mexican-American Catholic College), have the pleasure of inviting all those interested in developing a deeper knowledge of the reality of migration and human trafficking to the 
VI Continental  Popular Education Meeting: 
Migration-Immigration-Human Trafficking
Crossing Frontiers-Connecting Humanity

This is a pre-registration to help us have a baseline of the number of participants.  
 
Thank you for your time in completing this brief form!

First Name

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* 1. First Name

Last Name

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* 2. Last Name

Country you are currently coming from:

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* 3. Country you are currently coming from:

Gender

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* 4. Gender

Age range

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* 5. Age range

Organization Name

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* 6. Organization Name

Your role in this organization

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* 7. Your role in this organization

Briefly describe why you are interested in attending this workshop-meeting?

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* 8. Briefly describe why you are interested in attending this workshop-meeting?

Your email address

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* 9. Your email address

Your cell phone # (include country code if outside the US)

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* 10. Your cell phone # (include country code if outside the US)

Room preference

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* 11. Room preference

You selected a double room.  Please provide the names of one or more people with whom  you would share, if possible.  

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* 12. You selected a double room.  Please provide the names of one or more people with whom  you would share, if possible.  

Do you have any food allergies?

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* 13. Do you have any food allergies?

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