JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Middlebury ASL Class Petition
Find out more information at
go.middlebury.edu/SignForMidd
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
I support the creation of an American Sign Language program at Middlebury College.
*
I agree!
Name
*
Your answer
Email
*
Your answer
I am a...
*
Middlebury Student
Middlebury Alum
Middlebury Faculty/Staff
Town of Middlebury Community Member
Member of the Deaf Community
Family of Middlebury Student/Alum/Faculty
Other:
Middlebury College ID Number
Your answer
Graduation Year
Your answer
Tell Middlebury's President Laurie Patton why this initiative matters to you!
Your answer
I give permission for my last answer to be posted on the #signformidd website.
Yes, with my first name and my connection to Middlebury.
Yes, but only with my connection to Middlebury, not my name.
No.
Other:
Clear selection
Thank you for signing our petition!
Contact us at
signlanguage@middlebury.edu
, find us online at
go.middlebury.edu/SignForMidd
, and find us on Facebook at
www.facebook.com/Middleburysignlanguage
.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Middlebury.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report