Attendance form for Faculty Retreat 2023

First name *

Last name *

Preferred pronouns

She/her

He/him

They/them

Prefer not to answer

Email *

A vegan lunch will be provided during the event. Please indicate the statement below that applies to you: *

I will attend the lunch in person

I will not attend the lunch

Please list allergies or any other restriction(s) regarding your lunch option:

Do you require any disability accommodations? Please indicate your needs (information will remain confidential and will be used for ensuring that participants’ physical needs are met):

What code is in the image? *

Enter the characters shown in the image.

Leave this field blank