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* 1. Name:

* 2. Class Year:

3. Contact Information:

4. Invite me to Multicultural Reunions and Send me Information from the Multicultural Life and Diversity Office:

5. I am interested in diversity, equity, social justice and/or multicultural initiatives or programs:

6. Please keep me informed of the following diversity, equity, social justice and multicultural initiatives (please check all that apply):

For the 2013 Multicultural Alumni Reunion, to be held Oct. 18-19:

7. I am willing to recruit others to attend:

8. Suggestions for Workshop topics or Panels (please separate ideas by commas):

9. I am willing to present a Workshop on or be part of a Panel on:

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