Parent & Family Intercultural Advisory Council Application 2021
Please enter the information requested in the following sections. Applications must be submitted by 9:00 p.m. on Sunday, September 12, 2021.
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CONTACT INFORMATION
Name: *
Spouse/partner name:
Is your spouse/partner also applying to be a member of the Council? If yes, please make sure they submit a separate application. *
Mailing address (street, city, state, zip code): *
Email: *
Phone number: *
Are you a University of Maryland, College Park (UMD) alumnus/a? *
APPLICANT DEMOGRAPHIC INFORMATION
As we work to center the experiences of students and families from historically excluded groups as well as those students who are the first in their family to attend college and earn a four-year degree, it is important for us to ensure that the Council is representative of individuals who identify as BIPOC, LGBTQ+, and/or First-Generation. Only the Office of Parent and Family Affairs will have access to this information. Your responses will be kept private and secure.
With which gender do you identify? *
With which race/ethnicity do you identify? Select all that apply. *
Required
Do you consider yourself to be a member of the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community?
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Have you attended college and earned a bachelor's degree? *
STUDENT INFORMATION
Student name: *
University ID number (UID): *
Class Year (as of Fall 2021) *
With which gender does your student identify? *
With which race/ethnicity does your student identify? Select all that apply. *
Required
Does your student consider themself to be a member of the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community? *
Do you have another student currently at UMD? *
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