FULL NAME (First and Last)

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* 1. FULL NAME (First and Last)

EMAIL

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* 2. EMAIL

SKIDMORE CLASS YEAR

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* 3. SKIDMORE CLASS YEAR

ACADEMIC MAJOR(S)/MINOR(S)

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* 4. ACADEMIC MAJOR(S)/MINOR(S)

How do you self-identify in terms of RACE/ETHNICITY?

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* 5. How do you self-identify in terms of RACE/ETHNICITY?

How do you self-identify in terms of GENDER?

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* 6. How do you self-identify in terms of GENDER?

Please select your TWO MOST PREFERRED DIALOGUE TOPICS (i.e., the dialogues in which you would be most interested to participate). (NOTE: Final dialogue placement will be determined by interest, as well as peer-facilitator availability. Please also consider the appropriateness of your involvement, from the standpoint of your racial identity.)

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* 7. Please select your TWO MOST PREFERRED DIALOGUE TOPICS (i.e., the dialogues in which you would be most interested to participate). (NOTE: Final dialogue placement will be determined by interest, as well as peer-facilitator availability. Please also consider the appropriateness of your involvement, from the standpoint of your racial identity.)

Please explain briefly why you prioritized the dialogue topics as you did (2-3 sentences will suffice).

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* 8. Please explain briefly why you prioritized the dialogue topics as you did (2-3 sentences will suffice).

Please write a brief essay (250 words or less) explaining: (1) why you're interested in enrolling in an IGR dialogue; and (2) what you hope to gain from this experience.

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* 9. Please write a brief essay (250 words or less) explaining: (1) why you're interested in enrolling in an IGR dialogue; and (2) what you hope to gain from this experience.

How did you hear about the inter-/intragroup dialogues on race? (select all that apply)

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* 10. How did you hear about the inter-/intragroup dialogues on race? (select all that apply)

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