DBSC Membership Form
The Delaware Black Student Coalition is a student led organization that has a main focus of uplifting Black student leaders and the advancement of racial equity in Delaware schools. Due to our organization being completely student lead, there may be periods were we experience busy schedules. Please contact us at our email if we fail to contact you within two to three business days of your form being submitted. Thank you for your interest in joining us, we will talk soon.

Yours in the fight,
DBSC
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Email *
Date *
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Name, Age *
Grade, School *
Student email *
 Parent email *
Describe yourself in three words. *
How did you hear about DBSC? *
Why are you interested in joining the DBSC? *
What do you hope to receive out of DBSC? *
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