Let us know you are graduating with a degree in 2020-21, and we will recognize you with a box of pride mailed directly to you now. This form also lets us know if you want to be recognized online by the center in a slide show.

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* 1. Your Name as you would like it to appear on certificates of recognition:

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* 2. What is your degree?

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* 3. What is your College or School?

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* 4. What is your Major area(s) of study?

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* 5. What is your minor area of study or concentration?

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* 6. Did you complete the Queer Studies Minor (aka LGBIT Studies Minor)?

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* 7. Your email address:

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* 8. Your Student ID Number:

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* 9. I would like to be added to the UCR Pride Alumni facebook group

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* 10. Please share your mailing address, ONLY if you are okay receiving a package with pride items inside that mention the LGBTRC. The outside return address will only say UC Riverside.

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* 11. Do you want to be part of a slide show on the center's web site celebrating graduating students? If you answer "Yes," we will contact you about sending us a photo to include.

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* 12. Please re-enter your email address. Do not cut and paste!

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