Continuing Education Question Title * 1. Extension Classes HCST: Highway Construction Skills Training... Ongoing... Instructor: James Gadicke National Summer Transportation Institute NSTI, Grades 6-12, August 3-13 Food and Medicine: June 30 - Cattails: 4-6 pm, 600 Wing. Instructor Anna DeMers Take Away Tuesdays, 600 Wing 12-2 pm Make and Take workshops; earrings, painting, baskets, Cricut Creations, Photo Mugs, Soapmaking, Cup Cozies, Photo Earrings, Photo Christmas Ornaments, and Misc. crafts.... Tech Exploration: WeCreate, 3D Printing, Adobe Photoshop, Laser Cutting, and More... Thursdays 1-3 pm. Room 201 with Michael Clarquist Baby Star Quilts, Mondays, 4:30-8 pm, 600 Wing Extension, Instructor Pat St. Germaine. Regalia Making, Ribbon Shirts/Skirts, Tuesdays, 4:30-8 pm, 600 Wing Extension, Instructor Pat St. Germaine. 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: Question Title * 13. Summer Youth FAHN Club, Grades 6-8. M-Th 6/15-7/2, 9am-12:30pm Question Title * 14. Student Name Question Title * 15. Date of Birth Date / Time Date Question Title * 16. Address Question Title * 17. Parent/Guardian Question Title * 18. Parent Email Question Title * 19. Parent Cell# Page1 / 1 100% of survey complete. Done
