Registration Form for USC's 2014 Students of Color and Allies Policy Forum (SCAPF)
By completing this form, you are RSVP'ing to attend the Students of Color and Allies Policy Forum.
When: Friday April 18, 2014, from 2:00-7:30pm
Where: Radisson Hotel at 3540 S Figueroa St, Los Angeles, CA 90007
Sign in to Google to save your progress. Learn more
First Name *
e.g. Anh or John
Last Name *
e.g. Nguyen or Smith
Email Address *
@usc.edu email address is preferred
Degree Program *
If your program is not listed here or you are a dual degree student, please write in "Other".
Graduation Year *
I identify as...
We are only collecting this for demographic information, this will have no bearing on participants' ability to attend any of the sessions.  If you identify as bi-racial or multi-racial, you may check more than one box.
Which of the forum sessions do you plan to attend? *
Please indicate which portions of the event you plan to attend, so we can get an accurate head count for each session. (Note: Registration & Check-in is from 2:00-3:00pm.)
Please indicate which workshop you prefer to attend, as they will be running concurrently. *
We will do our best to accommodate your preference but due to space, we cannot guarantee participants will be able to attend their first choice.
If you plan to attend the networking dinner, do you have any dietary restrictions? *
Please note we may not be able to accommodate all dietary restrictions.
Required
Are you interested in submitting an entry for our poster exhibition? *
There will be a poster exhibition and prizes awarded.  More information will be available on the SCAPF Facebook page.
How did you hear about this event? *
Please check all that apply.  If you can write in the person, group or communication platform you heard from in other (such as GPAC Newsletter), we would appreciate it.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms