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WOC Empowerment Group Interest Form
Hello! Thank you for taking a few minutes to complete this interest form for the Women of Color Empowerment group. All of your responses will remain confidential.
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Email
*
Your email
Name
*
Your answer
Department
*
Your answer
Academic Rank
*
Lecturer
Assistant Professor
Associate Professor
Full Professor
Other:
What do you hope to gain from attending this group?
*
Your answer
We are attempting to find a time that most people will available. Please select all the days/times that will work for you in the Spring semester
*
Tuesdays, 9:30am-11:00am
Tuesdays, 6:00pm-7:30pm
Thursdays, 6:00pm-7:30pm
Fridays, 10:30am-12:00pm
Other:
Required
If you responded other, please list the days and times you are available. We will do our best to accommodate to everyone's schedule.
Your answer
What additional topics are you interested in exploring?
Your answer
Group members will receive self-care items during our time together. What are some self-care items you enjoy?
Your answer
Any other comments or questions?
Your answer
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