Request edit access
Clean Air and Convos Interest Form 
Your voice matters — help shape a tobacco- and nicotine-free Emory!

Limited availability, please fill out the form ASAP!

Date: 2/26/2026, 7pm - 9pm

Location Emory Conference Center Hotel (further details to come with formal invite)


Sign in to Google to save your progress. Learn more
Email *
Name *
Program (Graduate/ Undergraduate, Major) OR Staff *
Dietary restrictions (note: limited vegan options) *
Food Allergies 
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