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PICC Public Youth Call Sign-Up
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Your Contact Information
First Name
Last Name
Organization Name
Birth Date
Street Address
City
State
Zip Code
Phone Number
Email
Monthly Youth Calls (Please check the calls you want to attend):
Preferred Communication Method(s):
Phone
Email
Text
Postal Mail
Preferred Language for Communications (Please select one):
Arabic
Chinese (China)
English (United States)
Spanish; Castilian (Mexico)
Dutch (Belgium)
Anything thing else you'd like to let us know about your preferred language for communication (Please describe)?
Issues Interest(s):
Access to Drivers Licenses
Campaign to Shut Down Berks
Community Navigator Trainings
Education Justice
Enforcement Resistance
Federal Immigration Policy
Healthcare
Tuition Equity Campaign
Workplace Justice