PACKtivist Interest Form
Thank you for your interest in being a PACKtivist! Our goal with the PACKtivist Peer Program is to give students a chance to get involved on campus in supporting survivors and preventing sexual assault, dating/domestic violence, and stalking through outreach, education, and awareness. Once we review your application, we will send you a link to our slack and reach out to chat with you about orientation etc.

If you have any questions, please email Daniel Fred
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Name (first & last)
Phone Number
How do you prefer we get ahold of you?
Academic Status
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Languages Spoken
Briefly tell us why you want to be a PACktivist.
Do you have a specific interest area? Please check the box of the group you're MOST interested in (this doesn't mean you can't participate in other groups, but we'd like everyone to be involved in initiatives they're most passionate about).
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