A2MEND Interest Form

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A2MEND Interest Form

Afican American Male Education Network (A²MEND) is a student support structure that seeks to provide a healthy sense of community for Black and Latino male students on campus where Black and Latino men can grow personally, professionally, and academically into culturally competent servant student leaders.

* Indicates required question

Name *

Your answer

Student Email *

Your answer

Student ID# *

Your answer

Phone number

Your answer

Race/Ethnicity

American Indian/ Alaskan native

Asian

Black

White

Chicano

Are you interested in leadership opportunities within A2MEND?

Yes

No

Clear selection

Are you currently in any other programs at COC?

Student Athlete

Veterans

EOP&S

Other

Clear selection

Submit

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