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I'RAISE Girls & Boys International Corporation Black Reimagined Summer Institute
Section I
The Black History Summer Experience mission is to increase the social and emotional well-being of youth, to build positive identity and self-esteem and teaching Black History studies. All youth are welcome!
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Youth First and Last Name
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Your answer
Youth DOB
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Youth Gender
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Female
Male
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What is your child grade level?
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Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eigth Grade
Ninth Grade
Tenth Grade
Eleventh Grade
Twelfth Grade
Youth Home Address
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Street Number, Borough, State, Zip Code
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Which best describes the race/ethnicty of your child?
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African American/Black
Latin American/Hispanic
Caucasian/White
Bi-Racial
Middle Eastern
Indian
South East Asian
Asian
American Indian
Other
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What school does the young person attend?
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What grade is the young person in?
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Do any of the following apply to your child:
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My child has individualized education plan
My child has developmental delay/s
My child has mental health diagnosis'
None of the above
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Other:
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Parent/Guardian Name
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Parent/Guardian Address (If same as child. please indicate "same as child" below)
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Street Address, Zip Code, Borough, State
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Parent /Guardian Mobile Number
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Parent/Guardian Email Address
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Primary Language Spoken at Home
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English
Spanish
Creole
French
Arabic
Bengali
Please select the class you would like to enroll your child in. Classes are divided into grade levels Grade 3-5. Grades 6-8, Grades 9-12.
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Slavery in America-This class will teach the brutal facts of slavery, highlighting crucial and prominent figures during the slave trade in America.
The Harlem Renaissance-This class will teach the era of the Harlem Renaissance, diving into Black arts and culture
The Cotton Club-This class will explore black literature, black music, poetry and art and inspire young writers to create their own pieces.
The Freedom Riders-This class will teach the movement of the freedom riders and draw principles and lessons learned for this generation and era.
Separate but Equal-This class will explore the history of segregation and implications for today, with case analysis of Board vs education and others.
I have a Dream-This class will teach the works and era of Dr. King and the Civil Rights Movement.
Hip-Hop-This class will teach the history of Hip Hop culture and how it has positively impacted by the Black community.
Other:
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Will you be interested in learning more about the I'RAISE Research Study "The Effects of COVID-19 on Adolescents in New York City. ($30.00 Amazon gift card will be distributed to any adolescent who participates in the study)
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Yes
No
Maybe
Other:
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