Registration for LAACHA 1st Virtual Convening in Racial Justice

 Wednesday, June 15, 2022 
  1:00pm - 3:00pm 

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* 1. First Name:

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* 2. Last Name

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* 3. Degree or Credential

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* 4. Your Email Address

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* 5. Your Job Title

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* 6. Organization

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* 7. Work Address (street)

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* 8. City

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* 9. ZIP Code

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* 10. Your Daytime Telephone Number (in case we need to call you)

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* 11. Have you attended LAACHA meetings before?

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