UC San Diego 15th Anniversary Native American Heritage  Month Registration
Date: Thursday, November 4, 2021
Time: 10:00 AM - 11:30 AM PDT
Location: Price Center West Ballroom
Registration/Covid Check-in: 9:30 AM
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Please indicate your UCSD affiliation: *
Required
Title (if applicable)
College/Department (if applicable)
Tribal Affiliation (if applicable)
Please check the box below if you would like to be added to the UC San Diego Intertribal Resource Center newsletter mailing list.
COVID Requirement
All UCSD students, staff and faculty MUST present symptom screener "green thumb" result. Visitors MUST present proof of COVID vaccine or a negative COVID test from within previous 48 hours.
I agree that I will present a symptom screener result "green thumb" if I am a UCSD student/staff/faculty, or that I will present a COVID vaccination card or negative COVID test from within previous 48 hours if I am a non-UCSD visitor. *
Required
We strive to host inclusive, accessible events that enable all individuals, including individuals with disabilities, to engage fully. If you need further assistance to participate, please contact vcedi-events@ucsd.edu at least 72 business hours prior to the date of the event or notate it here.
Questions, comments, concerns?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of UC San Diego. Report Abuse