Coffee Chat interest form
Fill out the form below to request to coffee chat one of our E-Board members or Senior advisors:

Currently available coffee chatters:

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First Name *
Last Name
*
Email Address
*
Phone number *
Grade Level *
Please write a short introduction of yourself
*
What would you like to discuss?
*
Please list your availability for the next two weeks
*
Is there someone specific you would like to coffee chat? (Can write N/A if not) *
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