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Rising Senior Workshop Sign-Up
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* Indicates required question
Name
*
Your answer
School
*
Armorel
Blytheville
Caruthersville
Cooter
Delta C-7
EPC
Gosnell
Hayti
KIPP
Manila
North Pemiscot
Osceola
Rivercrest
South Pemiscot
Required
Phone Number
*
Your answer
Email Address
*
Your answer
Which Rising Senior Workshop do you plan on attending?
*
Saturday, February 4th (9:00am-2:00pm)
Tuesday, March 7th (4:00pm-7:00pm)
Thursday, April 13th (4:00pm-7:00pm)
T-Shirt Size
*
XS
S
M
L
XL
XXL
XXXL
Please read the statements below and check the box to indicate that you have read and understood these terms.
*
I understand that this is a mandatory workshop and that failure to attend will result in my dismissal from the TRIO program.
I understand that I am required to attend the entire workshop.
I understand that TRIO is not providing transportation for this event.
Required
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