WPU - LGBTQIA+ GRADUATING STUDENT LEADER RECOGNITION APPLICATION
This form is for graduating undergraduates and graduate students who self-identify within the LGBTQIA+ spectrum and student who are allies that have advanced LGBTQIA+ goals and initiatives at William Paterson.

Students who complete this form will receive memorabilia to be worn at commencement.

Lavender graduation cords for LGBTQIA+ identifying graduates and allies will be available for pick up at Graduation.
Email address *
NAME *
STUDENT ID # *
WPUNJ EMAIL *
Self- Expression *
Required
Mailing Address (for shipment of Lavender cord). We will send to address on file if left blank:
I have worked to advance LGBTQIA+ goals and initiatives as a club/org student leader on campus
Clear selection
If you answered YES to above question
Please list any leadership positions you have held during your time at William Paterson University and include the year you held each position. (Example: Club/Org E-Board, Resident Assistant, Student Ambassador, Orientation Leader, Peer Health Advocates, EOF Advisor, etc.)
Please provide title and time frame for your positions on campus. For example: Student Ambassador, Fall 2019- Spring 2020; PHE Fall 2012 - Spring 2020; Pride Alliance Secretary Fall 2014- Spring 2015; etc
Any position(s) that you are especially proud of off-campus where you advanced LGBTQIA+ goals and initiatives?
Submit
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