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* 1. Student's First Name

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* 2. Student's Last Name

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* 3. What is your email address?

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* 4. What is your phone number?

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* 5. Student Information

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* 6. What is your gender?

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* 7. What is your race? (select one or more)

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* 8. Anticipated High School Graduation Year?

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* 9. What school do you currently attend?

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* 10. What Cause Inspires You?

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* 11. What's your plan for college? (optional)

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* 12. What's your general career interest? (optional)

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* 13. My service story or idea for how students can help end bullying.  (400 words or less):

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* 14. Attach any photos you would like to share of you completing your service.

GIF, JPEG, JPG, PNG file types only.
Choose File

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* 15. Would you like to be featured on a Humanity Rising Podcast? 

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* 16. Accept the terms below.

If you'd like to create a 60-second video to enhance your written submission, please use this link and the hashtag #riseup2024.

Remember to speak from your heart!

https://humanityrising.editmate.com/

(then enter #riseup2024)

By submitting a video, you give us permission to post it on social media or other digital platforms, including our website.

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