2020 César E. Chávez Leadership Conference  Student Registration
Congratulations! You have been nominated to attend the seventh annual César E. Chávez Leadership Conference hosted at Southern Oregon University on Friday, March 13, 2020.

Please complete all fields with accurate and reliable student information. You will be required to include your email address. DO NOT USE YOUR SCHOOL EMAIL ADDRESS! Once you complete this form, you will receive an email confirmation. If you have any issues, please contact our office at 541-552-6378.

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Email *
Last Name *
First Name *
Middle Name
PO Box or Street Address *
City *
State *
Birthdate *
Please make sure the year entered is year of your birth, and NOT 2020
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Phone *
High School *
If prior answer was "Other" please name school
Grade *
Current Migrant Education program participant? *
Have you participated in any of the programs below?   *
Please select all that apply.
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