Language
English (US)
Spanish (Latin America)
Portuguese (Brazil)
LAWA regstration form
Saturday January 17th, 2026 8:30 am - 1:00 pm at Wingate University
¡Bienvenidos! Este formulario es para estudiantes interesados en participar en el Taller LAWA x Embrace. LAWA (Latinoamericanos Trabajando para el Éxito) apoya a estudiantes latinos a través del liderazgo, la preparación universitaria y las oportunidades educativas. Se proporcionará transporte si es necesario. Por favor, complete este formulario cuidadosamente para que podamos organizar el transporte y la participación.
Attendee Information
Please fill name and contact information of attendees.
Name
*
First Name
Last Name
Email Address
example@example.com
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Which grade are you?
Please Select
Middle School
9th grade
8th grade
10th grade
11th grade
12th grade
In college or university
In the prosess
Will you have a guest with you?(Limited one parent/guardian)
*
Yes
No
Guest Name
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do I need transportation for the workshop?
Yes
No
Now you will be redirected to submit into LAWA'S portal
*
I agree
Submit
Should be Empty: