*1.Are you planning to attend?(Required.)

Yes

No

*2.What is your name (First Name, Last Initial)
Example: John D., Jane D.(Required.)

*3.Are you part of the University of La Verne?(Required.)

Yes

No

*4.What on-campus org are you part of?(Required.)

*5.What non-school related organizations are you a part of?(Required.)

*6.How did you hear about us?(Required.)

*7.Please list your preferred non-school affiliated email for follow-up:(Required.)

*8.Have you been to one of our meetings before?(Required.)