Sign the Faculty and Staff Statement of Support for ASM and UW-Madison BIPOC Coalition

Sign the Faculty and Staff Statement of Support for ASM and UW-Madison BIPOC Coalition

Please find the full text of the statement here: bit.ly/2SXOUxp

By filling out this form you agree to have your support represented on the statement above.

Please share widely.

* Required

What is your name? *

Please write your name the way you would like it to appear on the statement or put Anonymous.

Your answer

What is your affiliation to UW-Madison? *

Faculty

Staff

Other:

What is your department/unit? *

(Ex: College of Engineering, Continuing Education, Morgridge Center, or N/A)

Your answer

Submit

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy