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EmPowered4PuertoRico RSVP Form
We look forward to providing an important learning experience that you can immediately put to use in your community!
NOTE: By signing up for this program you grant permission for the use and publication of photographs and video taken during the event.
*NYC program is currently postponed.
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Email
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First Name
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Last Name
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Address
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Zip Code
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Phone Number
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Age
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Under 18
18-24
25-34
35-44
45-54
55-64
65 and over
Which issue(s) would you like to become empowered on? (Choose up to 3)
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Energy Issues (Blackouts, Renewables)
Healthcare System
Preventing Corruption
Colorism
Femicide
Decolonization/Self-Determination
Climate Change/Environmental Justice
Self-Sufficiency/Autogestion
State of Schools/Higher Education
Jones Act (trade)
Gentrification/Displacement
Fiscal Control Board ("La Junta")
Privatization of Public Lands & Resources
LGBTQ+ Rights
Other:
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How did you hear about the EmPowered4PuertoRico program?
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Colleague/Friend
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