Umoja XV Conference
Please fill out this form if you are interested in attending the Umoja XV Conference taking place Thursday, October 31, 2019 - Saturday, November 2, 2019.

We will be departing from LAX Airport on Thursday, 10/31 (Halloween) at 1:30pm and returning to LAX on Saturday, 11/2 at 5pm. Students must get their own transportation to/from the airport. There are a limited number of seats for this trip. Preference will be given to brand new Umoja students. You will find out if you are attending the trip by Friday, October 25th.

You must also complete and submit the excursion form (4 pages), a copy of your government issued ID card, and health insurance (card to the Umoja office (Student Union, Room 211). You can download the excursion form at the link below.

Those selected must attend the mandatory pre-trip meeting on Monday, October 28th at 2pm in the library,  2nd floor conference room #211

For additional details about this trip, please visit our website:
https://effectiveness.lahc.edu/student_services/Umoja/SitePages/Umoja%20Conferences.aspx 
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Full Name *
Student ID # *
Phone Number *
Email Address *
How many Umoja conferences have you attended? *
Required
Are you sure you are available to attend the conference Thursday, October 31st through Saturday, November 2nd? *
Are you able to attend the mandatory pre-trip meeting on Monday, October 28th from 2pm - 3pm in the 2nd floor library conference room #211? *
If you cannot attend the meeting, please explain why
Are you willing to speak on video about your experience at the Umoja XV conference? *
Are you willing to complete required surveys about your experience at the Umoja XV conference? *
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