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Your name (required) *

Your ID # (required) *

Your community counselor’s name (required) *

Your host family's last name (required) *

What is your home country *

Date of Presentation: (required) *

Number of children you will be presenting to in grades Pre-K through 1st grade (required) *

Number of children you will be presenting to in grades 2 through 5 (required) *

Email (required) *

Your street address (required) *

Your City (required) *

State (required) *

Zip (required) *

I am currently enrolled in the UCLA American Advantage class & will be doing this presentation as part of the community involvement requirement. I understand that I am to get a signature on my community involvement tracking form at the end of the presentation as proof of my presentation. *

yes

no

Please allow up to 3 weeks for delivery.