*1.Please provide your first and last names.(Required.)

*2.What is your CUNY campus email address? Please verify that your email
address has been entered correctly.(Required.)

*3.What is your CUNY campus/school?(Required.)

*4.What is your CUNY office/department?(Required.)

*5.Do you have any food allergies? Please answer 'yes' or 'no.' If yes, please specify what they are.(Required.)

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