Family Dinner Student Form
How do you identify your sexual orientation?
I am a(n):
First year Student
Second year Student
Third year Student
Fourth year Student
Number of students you wish to have in your Family Dinner group with you?
I have a car
I do not have a car
Do you need transportation to Family Dinner?
Please indicate if there are foods you do not eat or foods you are allergic too.
Are you allergic to pets and/or would prefer not to be in a space with pets?
Yes I am allergic
No I am not allergic
Yes I would prefer pets to not be present
No I have no preference if pets are present or not
Month you wish to schedule a Family Dinne with your host?
Time you are available to attend Family Dinner
5 to 7 pm
6 to 8 pm
7 to 9 pm
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