Please fill in a valid value for all required fields
Are you sure you want to leave this form and resume later?
You must upload one of the following file types for the selected field:
There was an error displaying the form. Please copy and paste the embed code again.
Greater Sacramento Urban League
AAYMC Workshop Registration
Name
*
First Name
Last Name
Age
*
Address
*
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Wisconsin
West Virginia
Wyoming
State
Zip Code
Parent/Guardian's Name:
Contact Phone
*
Email
*
School District
*
School Name
*
Grade
*
Workshop Age Description key:
A = All ages, B = Elementary recommended, C = H.S. Only, D = Contains sexual subject matter
Workshop Choice 1:
*
The Genius of the Black Inventors A, B
You & the LAW: Knowing Your Rights C, D
College Life - The REAL Deal! A
The 4-1-1 on Black Colleges A
Technical/Technology Careers A
What If I DON’T Go? Alternatives to 4-Year College A
“BASSA”: Brothers and Sisters Stoppin' AIDS! C, D
Dreaming, A Different Approach (A Spiritual Workshop) A, B
Street Finance 101: Fundamentals of Money Management A, B
Hip-Hop & the Media A, B
“S.T.A.T.S.” - Sex, Teens, AIDS - Take Em Serious C, D
Etiquette & Dress for Success A
The CEO Game A
Don’t Get Played!: The Black Male in the HS Classroom C
I Am the GREATEST: The African in You A, B
Workshop Choice 2:
*
The Genius of the Black Inventors A, B
You & the LAW: Knowing Your Rights C, D
College Life - The REAL Deal! A
The 4-1-1 on Black Colleges A
Technical/Technology Careers A
What If I DON’T Go? Alternatives to 4-Year College A
“BASSA”: Brothers and Sisters Stoppin' AIDS! C, D
Dreaming, A Different Approach (A Spiritual Workshop) A, B
Street Finance 101: Fundamentals of Money Management A, B
Hip-Hop & the Media A, B
“S.T.A.T.S.” - Sex, Teens, AIDS - Take Em Serious C, D
Etiquette & Dress for Success A
The CEO Game A
Don’t Get Played!: The Black Male in the HS Classroom C
I Am the GREATEST: The African in You A, B
Workshop Choice 3:
*
The Genius of the Black Inventors A, B
You & the LAW: Knowing Your Rights C, D
College Life - The REAL Deal! A
The 4-1-1 on Black Colleges A
Technical/Technology Careers A
What If I DON’T Go? Alternatives to 4-Year College A
“BASSA”: Brothers and Sisters Stoppin' AIDS! C, D
Dreaming, A Different Approach (A Spiritual Workshop) A, B
Street Finance 101: Fundamentals of Money Management A, B
Hip-Hop & the Media A, B
“S.T.A.T.S.” - Sex, Teens, AIDS - Take Em Serious C, D
Etiquette & Dress for Success A
The CEO Game A
Don’t Get Played!: The Black Male in the HS Classroom C
I Am the GREATEST: The African in You A, B
Will Parent/Guardian’s attend
*
Yes
No
Note: Workshop Topics subject to change
Greater Sacramento Urban League