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Please complete the following form to register your department or office as a site location for the Civic Learning Program.

NOTE: The contact information you provide will be given to the student to make their initial contact with you. If you have one number you'd like us to use and another to give to students, please indicate that information on the form below.

E-mail must end in OR

The following three questions are meant to get you thinking about the initial conversation you will have with your student. Please put some thought into these and keep the responses so you can use them in that first meeting:

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