G.R.O.W. Divestment Chicago Registration Form
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Name *
Preferred gender pronoun or way you'd like to be referred to
Email *
Non .edu addresses preferred
Phone Number *
XXX-XXX-XXXX
Where are you based for the summer?
Where are you based during the rest of the year?
Would you be interested in being part of a ride-share/carpool?
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What are your accessibility needs?
Including allergies (penicillin, bee stings, etc.)
Any dietary restrictions? *
Which of these best describes you? *
What college or university do or did you attend, if any? *
With what campus, community or regional organizations are you affiliated?
i.e., unions, community groups, USSA, USAS, etc.
Do you want to join a working group for G.R.O.W.Chicago?
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Submit
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