Fall 2015 Teen Diversity Dialogue Application

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The Tempe Diversity Office is accepting applications for the 2015 Fall Teen Diversity Dialogue Program.  The program runs for seven consecutive Monday evenings from 6-7:45 p.m. in the lower level of the Tempe Public Library.  The dates are as follows:

September 14, 21, 28
(no program October 5 due to Fall Break), October 12, 19, 26
November 2

Pizza will be served at 5:30 each week.  The program begins promptly at 6 p.m.

This information is required.
 *
School

The following optional information will help us make the groups diverse and facilitate conversation.  Information will be kept confidential


Do you have a disability (optional)?
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What is your disability (optional)?
What do you hope to gain from your participation?
Signature (by typing your name you are verifying your application to the Teen Diversity Dialogue Program):
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