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Thank you for completing our registration.  The information gathered from it will be kept completely confidential.  The results of the data collected will be used solely for the purpose of refining our training to suit specific audiences and will only be shared with approved partners as outlined in the website Terms of Use agreement.

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First name
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Are you Hispanic or Latino?
Which of the following best describes you?
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What is your age?
I am a...
Define your role: (Check all that apply)
Advocate role (Please describe):
Elected Official (office held):
Other (Please explain):
Level of Education:
Do you or your child have a:
Do you or your child receive Special Education Services?
Do you or your child receive services or have/had involvement in one of these systems/programs?
Military Service:
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Employment Status:
Are you or your child/youth currently attending school or in an educational program?
If Yes, you or your child?
If no, please describe why?
Are you or your child/youth currently placed outside of the home?
If yes, please indicate a placement:
Other (Please Describe)
Are you or your family involved in any of these planning processes? (Check all that apply)
Other: (Please describe)
Would you be interested in a leadership role or more information on how to become involved in one of