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Community + Values Special Event Registration Form
Register
Fill out the information below to register! If you have any questions, please email us at
communityplusvalues@du.edu
.
DU ID Number (if you are a DU alum or do not have a DU ID number, please enter N/A in this field):
*
Name (First Name Last Name)
*
Primary DU Affiliation (Select One):
*
Undergraduate Student
Graduate Student
Staff
Faculty
Alumni
Parent/Family
Other (write in answer in textbox below)
Comments:
DU Department:
*
DU Degree Program:
*
Preferred graduation year and degree program:
*
Email Address
*
We strive to ensure we create an inclusive and welcoming space for all at our events. Therefore, please let us know about any accommodations you may need and/or dietary restrictions you have for this event:
Want to join our C+V listserv?
*
Yes
No