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Departmentalize CSRE Pledge Form
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Stanford Email
Your answer
Year as of Fall 2022
*
Freshman
Sophomore
Junior
Senior
Graduate Student 1st Year
Graduate Student 2nd Year
Graduate Student 3+ Years
Other:
I support the Departmentalization of CSRE
*
Yes
No
Other:
I pledge to enroll for a CSRE class in Fall 2022
*
Yes
No
If yes, which class?
Your answer
Why are you signing this pledge? (These answers may be shared with the university anonymously)
Your answer
Would you like to stay updated with our campaign?
*
Yes
No
Other:
Would you like to get more involved in this campaign?
*
Yes
No
Other:
Gender Identity
These demographics are helpful for our campaign to understand which audiences we are reaching and will be kept confidential
Non-Binary
Male
Female
Other:
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Ethnic/Racial Identity (i.e. Black, Mixed, White, Native American, Latinx, Asian, etc)
These demographics are helpful for our campaign to understand which audiences we are reaching and will be kept confidential
Your answer
Any other comments or feedback?
Your answer
Lastly, do you have any friends who would be interested in signing/assisting with this campaign? If so please put their email below:
Your answer
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