NYSABPRL Conference Weekend Survey
This survey enables students to be eligible to travel with Baruch College to Albany, NY for the New York State Association of Black and Puerto Rican Legislators (NYSABPRL) Conference Weekend. We stay in Albany from Friday, February 14 until Monday, February 17, 2014. All hotel, transportation, and food expenses are covered as part of the trip.

If you want to learn more about social and political issues in New York or your local community, then Conference Weekend is ideal for you. As part of the weekend, students attend special workshops, networking events and parties featuring city and state legislators. This gives students the opportunity to network with prominent politicians and learn about local, city and state politics in a direct and effective way.

To learn more about NYSBPRL and Conference Weekend, please visit their website at :http://www.nysabprl.org/.

Filling out this form does not guarantee your spot in Albany. Please be prepared for USG to follow up with you on a brief interview. We do not discriminate against anyone filling out this survey on the basis of race, ethnicity, gender, age, education, or major. Your answers to this survey will not be shared with anyone outside of the people administering this survey.

The deadline for this application is midnight, Friday, January 17. Late applications may not be considered.
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What is your full name?
What is your gender?
What is your age?
What is your expected year of graduation?
What is your major?
What is your email address?
Please write the email address that you most frequently use.
What is your phone number?
Please write the phone number at which we can most conveniently contact you.
What is your preferred method of contacting you?
This may not be done, but we may contact you to follow up with your answers to this survey.
What is your current home address?
Please list the address on file with Baruch College. (For example: 123 Main Street Apartment 1A, New York, NY 12345.) We ask this question to put students in touch with their local legislators for Conference Weekend.
Do you have any special dietary preferences?
Do you have any health issues that require special accommodation or advance notice?
What interests you in attending NYSABPRL's Conference Weekend?
Please write 100-150 words to answer the long-form questions.
What city and state issues are most important to you? Why?
Is there anything else we should know about you that would make you a great candidate for Conference Weekend?
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