Continuing Education Question Title * 1. Extension Classes Tech Exploration: Thursdays 1-3 pm. Room 201 with Michael Clarquist Join 4-H at LCOOU Extension, First Wednesday of the month, 4:30-6pm. Grades K-13 Location TBA Making Wild Ricing Sticks: Mondays, 4:30-8 pm. Starting 8/25, located in 600 Wing Extension Food and Medicine: 8/26 Goldenrod; 9/9 Fall Mushroom Hike; 9/23 Plantain; 10/7 Fall Cattails; 10/21 Burdock; 11/4 Birch Polypore; 11/18 Chaga; 12/2 Turkey Tail; 12/16 The Pines. 600 Wing Extension 4-6 pm. Instructor Anna DeMers Take Away Tuesdays, 600 Wing 12-2 pm Make and Take workshops; earrings, painting, baskets, Mugs, Soapmaking, Cup Cozies, and Misc. crafts.... Question Title * 2. Personal Information: Question Title * 3. Date of Birth: Date Date Question Title * 4. I've taken classes at LCOOU in the past Yes No Question Title * 5. Address: Address 2 City/Town * State/Province * ZIP/Postal Code * Country * Email Address * Cell or Phone Number * Question Title * 6. What is your gender identity? Female Male Non-binary Prefer not to answer Not specified above, please specify Question Title * 7. Race: American Indian or Alaskan Native Asian / Pacific Islander Black or African American Hispanic White / Caucasian Multiple ethnicity / Other (please specify) Question Title * 8. Tribe Question Title * 9. What is your ethnicity? (Please select all that apply.) Hispanic/Latino Non-Hispanic/Latino Question Title * 10. Parent Name Question Title * 11. Parent Phone Question Title * 12. Lac Courte Oreilles Ojibwe University: Release Form - Audio & Visual Materials Name: Electronic Signature: I give permission to Lac Courte Oreilles Ojibwe University to use my name, portrait, picture, video or audio equivalent for purposes of use on the internet, publication, viewing, display, sound or training purposes. I agree all such material shall remain property of the LCOOU. I also understand that the material will be used in good taste and without discrimination. I give Sponsor - Native Arts and Culture permission to use my image taken while in their sponsored workshop. Guardian signature if under 18. Date: Page1 / 1 100% of survey complete. Done
