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2023-2024 Delta Academy Application (FCAC)
Please complete this participant information sheet to apply to the Dr. Betty Shabazz Delta Academy sponsored by Fairfield County Alumnae Chapter of Delta Sigma Theta Sorority, Inc.
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Participant Name
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Street Address
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City, State, Zip
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Home Phone Number
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Age, Birthday
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Your answer
Grade, School
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Your answer
Parent / Guardian Name
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Parent / Guardian Email Address
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Parent / Guardian Phone Number
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How did you hear about the Delta Academy program?
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