Middle Eastern /South Asian Youth Empowerment Conference
EAOP is very excited to offer this event to students who identify as Middle Eastern or South Asian. During this event you will have the opportunity to hear from current college students who identify as Middle Eastern or South Asian on their own experiences of navigating through higher education. There will be workshops and presentations on identity, mental health in our communities, and resources on college campuses. This will be a safe space to share experiences, build relationships and connect with others from a similar background.
Email address *
Join Us : Saturday, November 16 from 8:30am-2:30pm
Registration Deadline: Monday, November 11th, 2019
First Name *
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Last Name: *
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Grade Level *
Your High School *
If you selected other for the question above, please indicate which high school you attend.
Your answer
Are you an EAOP student? *
Your Cell Phone Number
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Parent/Guardian 1 Name:
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Parent/Guardian 1 Cell/Home Phone Number:
Your answer
Parent/Guardian 1 Email:
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Parent/Guardian 2 Name:
Your answer
Parent/Guardian 2 Cell/Home Phone Number:
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Parent/Guardian 2 Email:
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Dietary Restrictions:
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Any other allergies we should be aware of?
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Any accommodations needed?
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What would you like to get out of this event?
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Mandatory Waiver and Photo Release Form
If you are not an EAOP student, you are required to print out and submit the waiver form located at the link below when you register for the event. In order to attend the event, it is REQUIRED to send these completed forms. You can scan and email them to mirfan@ucdavis.edu :https://ucdavis.box.com/s/guzkv3nt0e25r1ng1ejrjgd4cteeyyed
How did you hear about this event? (If a friend who is coming to this event referred you, go ahead and write their name down and they will be given 10 extra raffle tickets at the event) *
Your answer
Please Read Carefully Below:
"I acknowledge that by signing up for this event I am committing myself to be there on Saturday, November 16th from 8:30am-2:30pm. In the case of an URGENT emergency where I am unable to attend, I must notify Maryam Irfan(mirfan@ucdavis.edu) at least 5 days before the event. By clicking "I agree", I recognize that many resources go into this event and therefore I am committing myself to attend". *
A copy of your responses will be emailed to the address you provided.
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