JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Racial Healing Circle of Lament Registration
Hello! Thanks for your interest in participating in a Racial Healing Circle. Please fill out this form so we can get you connected.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your Name
*
Your answer
What's your connection to Mason?
*
Staff
Faculty
Required
What is your Mason affiliation? (Your major, department, title, etc.)
*
Your answer
E-Mail Address
*
Your answer
This is an optional question. How do you describe your ethnic roots? You're welcome to check at least one and be more specific in the "Other" box.
Asian
Black or African American
Desi or South Asian
European or White
Hispanic or Latinx
Middle Eastern
Native American or Indigenous
Native Hawaiian or other Pacific Islander
Other:
Which RHC of Lament do you want to attend? (Registration is now closed for Friday at 4:30)
*
Monday, March 22, 4:30pm-6pm
Required
Is there anything else you would like us to know about you?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
