Self-Disclosure form for Student Council

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We want to make sure your voice is heard on student council and that you are connected to your representatives! Please fill out the form and your student rep will reach out to you about how to have your voice heard during meetings. YOUR INFORMATION WILL ONLY BE SHARED WITH: Your designated representative, and the Student Council Secretary, Emelie Clements (who is hosting the survey).

First and Last Name

Luther Seminary Email *

Select all that apply *

Residential

Commuter

MDiv

MDivX

ThM

PHD

Non Degree

Ecumenical Student (non-ELCA)

International Student

Black/African American

Student of Color

Indigenous

LGBTIA+

Junior

Middler

Senior

Neurodivergent

Mental Health Support

Disabled/Differently Abled

Required

Feel free to add other identification positions here:

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