Student Volunteer Form - humanizED Podcast
We are looking for CI student volunteers to speak with us about their experiences in college. If you complete this form, I will arrange a 30-minute online conversation with you.

If you have any questions, contact Jill Leafstedt at jill.leafstedt@csuci.edu.

Last Name *
Your answer
First Name *
Your answer
Email *
Your answer
Phone *
Please include a mobile number so I can text you if we have a problem with our meeting time.
Your answer
Are you at least 18 years of age? *
Consent to Name Use *
Please indicate if you would prefer me to use your real name or a fictitious name if I use clips from our conversation in a future podcast episode.
Consent to Name Use *
Please indicate if you would prefer me to use your real name or a fictitious name if I use clips from our conversation in a future podcast episode.
Consent to Recording *
When we speak, I will record the conversation. Please indicate below that you consent to the recording.
Which of the following describes you?
Please select all that apply.
Submit
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