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* 1. Name:

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* 2. Email address:

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* 3. Company:

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* 4. Phone number:

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* 5. I have completed a CCISD Volunteer background check for this school year 2021-2022

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* 6. I would like to participate in the SALSA Program at this campus:

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* 7. I agree to commit to 1 hour a month to attend SALSA meetings. SALSA meetings at Clear View HS will be held most often on Thursdays 10:37am-11:37am. SALSA meetings at Friendswood Junior High will be held most often on Wednesdays 11:45am-12:45pm. 

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* 8. I commit to maintaining strict confidentiality with my SALSA group and will sign a confidentiality agreement.

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* 9. What sector(s) of the community are you are part of? Select all that apply.

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