Democracy Lab Registration 10/21 - Words That Birthed a Nation

Please complete this registration form to attend the Democracy Lab discussion "Words That Birthed a Nation" on Tuesday, October 21st from 2:00 to 4:00 pm in K-132.

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* 1. Name and Email Address

First Name *

Last Name

Email Address *

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* 2. How do you identify politically? This information will be helpful to the presenter in terms of who the audience for the program is.

Republican

Democrat

Independent

Decline to answer.

Other (please specify)

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* 3. How did you hear about this program? (Check all that apply.)

Facebook

Instagram

Carroll website

Canvas

Other (please specify)