Learner Spotlight
Congratulations on being selected to represent your Google Career Certificates program as the Learner Spotlight! LULAC Institute wants to highlight your incredible dreams, goals, and achievements. Your story will be highlighted through LULAC’s social media accounts and publications. In addition, you will receive an award certificate honoring your dedication and hard work. Please complete this form by answering each prompt below and uploading a professional picture of yourself. Do not exceed 200 words for each response.
LULAC Council # / Organization
*
Please Select
San Benito County LULAC Council #2890 - Hollister, CA
LULAC Council #5296 - Woodstock, IL
LULAC Council #272 - Dallas, TX
LULAC Herencia Council #4297 - Killeen, TX
Mid Rio Grande Border Area Health Education Center - Laredo, TX
LULAC 648 Projects and Activities, Inc - San Antonio, TX
Brazosport LULAC Council #4655 - Brazosport, TX
Greater Houston LULAC Council #4967 - Houston, TX
LULAC Council #4227 / Latinitas - Austin, TX
LULAC Council #5316 / Un Nuevo Despertar - A New Awakening - Cicero, IL
I don't know
Name
*
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
May we contact you if we have any questions?
*
Yes
No
If you answered "Yes" to the previous question, what is the best way to contact you?
Email
Phone
Briefly introduce yourself.
*
How did you first hear about this program?
*
Briefly describe your experience so far with this program.
*
How has this program impacted you?
*
If you could share one piece of advice with future participants, what would it be?
*
Is there anything else you would like to share?
*
Tell us how this program, as funded by Google.org, has positively impacted your life. Who would you like to thank for this opportunity?
*
Upload a professional headshot of yourself.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Disclaimer
I certify that my answers are true and complete to the best of my knowledge. LULAC Institute, Inc. reserves the right to review submissions and make typographical amendments as deemed necessary.
Electronic Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: