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PEACE Birmingham 2022-2023
This is the application for teens interested in being a part of PEACE Birmingham 2022-2023. Teens must be in 9th-12th grade in the 2022-2023 school year.
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Current Grade
*
9th
10th
11th
12th
Race/Ethnicity
*
Black / African-American
Hispanic / Latine
Multiracial / Biracial
Asian
Middle Eastern
Native
Pacific Islander
White
Other:
Gender
*
Woman
Man
Non-binary
Genderfluid
Transgender
Gender nonconforming / Genderqueer
Other:
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Parent/Guardian Email
*
Your answer
What do you think is the biggest issue your community faces?
*
Your answer
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