2024 LULAC Academy Registration Form

Your Information

Email*

First Name*

Last Name*

Address

City

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ZIP Code*

Phone

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Best way to reach me

Twitter Account

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How did you first learn about the LULAC Academy?*

Preferred Pronouns

Are you a LULAC member?*

Council #

Food allergies? Please, describe*

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Name of institution*

Major

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Do you have any further questions?

Certification **

* Required information

** I certify that I have read and understand the instructions of this application and have answered all the questions truthfully and to the best of my ability. I certify that the information I have provided on this application is complete. I understand that any misrepresentation or omission may be cause for denying admission to the LULAC Academy.*