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CEGEP Poland/Israel Trip Interest Form
We are exploring the possibility of offering a trip to Poland and Israel in May/June 2022 for CEGEP students who may have missed out on the MOL experience in high school. More information will be available in early 2022. Please fill out this form indicating your interest in this trip.
Student's Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
Other
Postal Code
School
Anticipated year of graduation
Please Select
2022
2023
2024
Submit
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