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Fall 2022 Women's Self-Defense Class
Cost: $10 entry fee
Date: December 1st, 2022
Time: 6
PM to 7:30 PM
Location: CoRec MP2 (next to Rock Climbing Wall)
Note: Location is NO LONGER Upper Gyms
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First and Last Name
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Purdue Email
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Select YES to RSVP (and affirm that you will bring $10 in cash)
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YES
Below are a set of questions that will help Purdue Karate Club to better understand the atmosphere regarding safety on campus.
You are not required to complete this portion. This part of the form is purely for our metrics.
What is your gender?
Woman
Nonbinary
Other:
Clear selection
Do you generally feel safe on campus?
Yes
No
Clear selection
If you were to end up in a situation requiring self-defense, and you could not run away, how would you respond?
Blue Light Emergency Buttons
Pepper Spray
Weapon (taser, knife, brass knuckles, etc.)
Hand to Hand Combat (punches, kicks, grabs, etc.)
Other:
Are you part of a sorority? If so, which one?
Choose
Alpha Chi Omega
Alpha Gamma Delta
Alpha Kappa Delta Phi
Alpha Omicron Pi
Alpha Phi Omega
Alpha Xi Delta
Chi Beta Omega
Delta Delta Delta
Delta Gamma
Delta Kappa Delta
Delta Phi Lambda
Delta Phi Mu
Delta Zeta
Gamma Phi Beta
Gamma Rho Lambda
Kappa Alpha Theta
Kappa Delta
Kappa Kappa Gamma
Phi Beta Chi
Phi Mu
Phi Sigma Rho
Pi Beta Phi
Sigma Alpha
Sigma Delta Tau
Sigma Kappa
Sigma Lambda Gamma
Zeta Tau Alpha
Are you part of a co-op? If so, which one?
Choose
Ann Tweedale
Devonshire
Glenwood
Maclure
Shoemaker
Stewart
Twin Pines
Other
Are you part of a Residential Hall? If so, which one?
Choose
Earhart
First Street Towers
Freida Parker
Harrison
Hawkins
Hillenbrand
Honors
Meredith
Meredith South
Owen
Shreve
Windsor
Winifred Parker
Other
Are you part of a Women's Organization (e.g. Women in Engineering, Women in Aviation)?
Choose
Women in Animation
Women in Aviation
Women in Business
Women in Construction Management
Women in Cybersecurity
Women in Engineering
Women in Nuclear
Women in Science
Women in Technology
Are you part of a Club Sport?
Choose
Archery
Badminton
Crew
Fencing
Gymnastics
Judo
Kendo
Lacrosse
Rifle & Pistol
Rugby
Running
Soccer
Softball
Swim
Tae Kwon Do
Trap & Skeet
Ultimate Frisbee
Volleyball
Water Polo
Are you affiliated with any of these organizations? Select all that apply.
American Association of University Women
Campus House
CHAARG
Computer Science Women's Network
Cru
FACT Purdue
Her Campus Purdue
Me Too Purdue
oSTEM
She's the First
SWE
TSA
Iota Iota Iota (Triota Epsilon Kappa)
Women of Vision, NACWC, Inc.
Other:
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