Native Community Winter Celebration 2021
Thanks for your interest in the Winter 2021 Indigenous Community Celebration hosted by Academic Coaching and Tutoring Services (DDEEA)! This event will take place on Friday, December 17th from 10 am to 2 pm at the Memorial Union - room TBD. Please pre-register for the event so that we can provide enough food.

The instructions below are for students who want to enter to win free text books - you may skip to the RSVP form if this does not apply. Questions about the event? Please contact acts@cdo.wisc.edu
__________________________________________

To be eligible to win free text books for Spring 2022 sponsored by ACTS you must complete all of the following:
1. Be a current UW Madison undergraduate student who identifies as Native or Indigenous
2. Attend one of the three Study Jams co-hosted by ACTS (AISCC 12/1, Biocommons 12/8, Red Gym 12/15)
3. Schedule and attend a 30 minute meeting with the ACTS Indigenous Student Services Coordinator to create your Spring 2022 academic success plan. This includes completing a survey before the meeting which will take approximately 30 minutes. This step must be completed by 5:00 pm on 12/15/2021.
4. Attend the Winter 2021 Indigenous Community Building Day on 12/17 from 10-2 at Memorial Union.

The four winners will be announced at the event on 12/17 (anonymously, you may choose to announce publicly if you are a winner). You must be present to win unless extenuating circumstances prevent you from attending -  if you know in advance that you cannot attend, please notify us using this RSVP form. If you win a drawing, you must submit a complete list of required textbooks with ISBN numbers for your Spring 2022 courses to acts@cdo.wisc.edu by January 3rd, 2022.

More detailed instructions for eligibility can be found on the ACTS Indigenous Student Services Canvas: https://canvas.wisc.edu/enroll/83RYGM or can be requested by email from Laura Hiebing Lrhiebing@wisc.edu

Questions about the book drawing? Please contact Laura Hiebing Lrhiebing@wisc.edu
__________________________________________
Sign in to Google to save your progress. Learn more
Please select one option for your meal preference - note any dietary restrictions in "other." *
Required
Check the box below to be entered to win free textbooks from ACTS for Spring 2022. If you cannot attend the event on 12/17, please note the reason in "Other":
First Name *
Last Name *
Email (@wisc.edu preferred) *
If you are UW Madison staff or faculty please share your title and school/department
Year in School *
Are you a student who is graduating in Winter 2021? *
Are you a student affiliated with the Division of Diversity, Equity, and Educational Achievement (DDEEA)? *
If yes, what program? *
Do you identify as Native or Indigenous? *
If yes, what is your tribal affiliation?
How did you hear about today's event?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UW-Madison Google Workspace. Report Abuse