Safe Smart Dating Chapter Interest Form
Hello and thank you for your interest in hosting Safe Smart Dating! Please complete the information below in order for your chapter to be considered for the workshop. The deadline to apply for the spring 2019 semester is December 1st. The deadline to apply for the fall 2020 semester is July 31st.
Email address *
Please indicate your organization. *
Name of Chapter *
Your answer
Name and Email Address of your chapter's coordinating officer *
This is the officer that will be responsible for planning the Safe Smart Dating program, and working with your assigned facilitators. If this contact is remaining the Chapter President, please indicate that here.
Your answer
Which semester are you interested in hosting Safe Smart Dating? *
If you are a member of Sigma Delta Tau, is there a Zeta Beta Tau chapter on your campus?
If you are a member of Zeta Beta Tau, is there a Sigma Delta Tau chapter on your campus?
What is your 1st preferred workshop date? *
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What is your 2nd preferred workshop date? *
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What is your 3rd preferred workshop date? *
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Briefly describe why your chapter would like to receive the Safe Smart Dating workshop. *
Your answer
Safe Smart Dating Expectations *
By checking "Yes" I certify that the chapter's coordinating officer has read and agrees to the terms of the Chapter Policies and Procedures document: https://docs.google.com/document/d/1ecJRp-UDZ1afc1Fxve4C1rhV0fg7X2ddRwl3b9dx8Vo/edit?usp=sharing
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