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HBCU Panelist Interest Form
PLEASE read EACH question carefully.
Thank you for your interest in being a panelist for our future HBCU panel opportunities!
We are currently seeking panelists in the CLT area or willing to travel to the area.
* Indicates required question
Are you willing to travel to Charlotte, NC to be a panelist?
*
Yes
No
Name (First, Last)
*
Your answer
Phone
*
Your answer
Email
*
Your answer
Location (City, State)
*
Your answer
Current Occupation
*
Your answer
School
*
Your answer
College Major (Include minor if applicable)
*
Your answer
Graduation Year
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Your answer
Why did you attend an HBCU?
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Your answer
Instagram Handle
Your answer
LinkedIn Handle
Your answer
Would you like to subscribe to our newsletter?
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Yes.
No.
I already receive them.
Preferred method of contact
*
Email
Text
Preferred Panel
*
Phillip O. Berry HS (Feb. 10)
Harding University HS (Feb. 17)
West Meck HS (Feb. 24)
Butler HS (Mar. 3)
I would like to be added to the general database for panelists.
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