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2021 ACAC Host Site Registration
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* Indicates required question
Host Site Coordinator Name
*
Your answer
Host Site Coordinator email
*
Your answer
Role of Host Site Coordinator
*
Career Coach
School Counselor
JAG Specialist
CTE Teacher
AVID Teacher
TRIO Staff
Americorps
Transition Counselor
Other
Required
High School Name
*
Your answer
School mailing address
*
Your answer
Community College Name (if applicable)
Your answer
I understand that as a host site, we will need to provide a location with computer and internet access during school hours.
*
Yes
No
I understand that if I am unable to provide a location with computer and internet access, it is my responsibility to print paper applications made available online.
*
Yes
No
I understand I will need to track and share specific aggregate data about the number of participating students and the number of applications submitted during our event with the 2021 Arkansas College Application Campaign.
*
Yes
No
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