ASE BSSS 2024: Accommodation Request & Pre-Summit Questions
Thank you for registering to ASE Community's 2023 Black Student Success Summit! Please complete this form to ensure we can receive any accommodations requests. 

Feel free to submit any questions you may have about the event as well - we will hopefully answer them all!
Sign in to Google to save your progress. Learn more
Enter your first and last name: *
Enter your email address: *
Please identify the situation or need(s) for which you are seeking an accommodation (if applicable).
Are there any additional suggestions for ways in which we can meet your accommodation stated above?
Do you have any questions for us regarding the Summit or the topics discussed at the Summit? (refer to [INSERT LINK] to review the topics)
Thank you for your input! We're so excited to have you join us - see you September 9th at 11AM!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms