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Register to Participate in the Immigration Forum

Immigration in America: How Do We Fix a System in Crisis?
October 1, 2014, at 5:00 p.m. – 7:30 p.m. at the University of Houston - Downtown, ROOM A-300

and

October 8, 6 – 8 pm, at Lone Star College, Kingwood, held in the Conference Center.

Registration is required by phone or email
To register by phone, please call 713-221-8472.
To register by email please fill out the form below:

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First Name:

Last Name:

*

Address 1:

Address 2:

City:

State:

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Phone:

e-mail:



Your role in the community?

*

Place of Employment *

Race / Ethnicity:

Age:

Gender :

Are you an international student?



Are you with the Dreamer Group?



Request services for persons with disabilities:
(Please fill out contact information so we can contact you. )



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Last updated or reviewed on 9/4/14

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