Take Back the Night Sign-up
Take Back the Night is an annual event to raise awareness of sexual violence and inspire action to prevent all forms of interpersonal violence in our communities. The evening will begin with a roundtable discussion in the Lucas Room (4-5pm), followed by a keynote address in McKnight Auditorium (5:30-6:30pm) and concluding with a survivor speak out moderated by Counseling and Psychological Services (CAPS) at Belk Plaza. Please complete this form if you plan to attend.

Please contact Terri Rhodes (trhodes@uncc.edu) in CAPS if you have any questions about participating in the Survivor Speak Out.
First and last name *
University email *
Please select which portion(s) of the event you plan to attend? *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UNC Charlotte. Report Abuse
Google Forms