Field Reception RSVP 2020

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Question Title

* 1. Please enter RSVP information below:

Please provide your name as you wish it to appear on your name tag at the event.

Last Name:

First Name:

Agency Name:

Email:

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* 2. I will be attending the Field Reception

Yes

No

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* 3. This year was my first year as a Field Educator with UB

Yes

No

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* 4. Please let us know your affiliation with the UB School of Social Work

Agency Representative

Field Educator/Faculty Liaison

Student

UB Social Work Faculty/Staff Member

UB Administrator

Other