SJSU Chicanx Latinx Student Success Center Panel Presentation Request Form

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Dear community,

We appreciate your interest in learning about the Chicanx Latinx Student Success Center (Centro). It is with great esteem that we offer to lead student panel presentations with current Latinx students from our center for an opportunity at a conversation with prospective students to learn about the experiences of SJSU students. Due to limited staffing we ask that you fill out this form with a minimum of four weeks in anticipation of your visit. Note: GROUPS WILL NOT BE ACCEPTED WITHOUT THE COMPLETION OF THIS FORM.

If your group's demographics include other identities you would like to learn more about, please inform us of your group's population and we may be able to collaborate with other departments to cover the needs of your group.

*Please note, our department is unable to lead any campus tours. Please contact the Student Outreach And Recruitment department for campus tour inquiries.

We look forward to connecting with your students,

The Chicanx Latinx Student Success Center team

Questions can be emailed to: chicanxlatinxssc@sjsu.edu

Email *

Date of group's intended visit. MUST be a minimum of three weeks in advance. *

YYYY

Time of your group's intended panel presentation with our department. *

Time

Group Size (Total including students & chaperones) *

Name of school/group that will be visiting. *

Group Lead Contact Name (First Name, Last Name) *

Group Lead Contact Information (Preferred Email) *

Please provide information about your group (racial/ethnic demographics, age, grade level, etc...) *

Questions/Comments?

Send me a copy of my responses.

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