Office of Civil Rights Program Request
Office of Civil Rights Program Request
Please complete the fields below with as much information as possible.
Name
Name
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First
Last
Email
*
Phone
Phone
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Department or Organization
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What type of program are you requesting?
*
Who is the proposed audience?
*
Number of Expected Attendees
*
What is the proposed timeline for this program?
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Please provide proposed date and time options for consideration
*
Location of Event
Please provide additional information/details regarding your event/program.