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  • ABOUT C.H.A.N.G.E.
    • THE C.H.A.N.G.E MANTRA
    • Founders' Passion
  • Programs
  • Volunteer
  • Contact Us/inquiries
cAMP ASPIRE 2017
​CHANGE YOU-NIVERSITY REGISTRATION


    CHANGE 2017 SUMMER PROGRAM REGISTRATION
    (June 26-29, 2016) Elizabeth City, NC 

    REGISTER TODAY! 
    Deadline for Registration is June 4, 2017
    ​Deadline for Payment is June 16, 2017

    . 

    Please indicate your t-shirt size.

    Parent/Guardian Information

    If you do not have an e-mail address, please input the following: noemail@address.org
    Check All that Apply

    Adult Recommendation (Family Member, Family Friend, Community Leader, etc)

    Adult Recommendation can be a Family Member, Community Leader, etc.
    If the answer is no, please write N/A. If the answer is yes, please explain the behavioral issue(s) here.

    All Applicants Must Complete This Section

    List your hopes, dreams, desires, or even your summer or academic goals. We just want to know more about you!
    We want to know more about you so we can tailor the workshop, so come on tell us a little about YOU!
    Applications can be submitted by pressing the button below, if you make an error or need to amend the application, please e-mail us at change1enterprises@gmail.com or contact the Elizabeth City Program Director (information below).
    Program Point of Contacts
    Shavonta Green-Floyd, 703-798-6303, Dr. Jametta Davis, 703-XXX-XXXX, change1enterprises@gmail.com
    Contact change1enterprises@gmail.com or Dr. Jametta Davis at 703-899-0482
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