Harvard Brazil Alumni Summit: "One Harvard, One Brazil"

Interest Form

**Note: This Interest Form is designed to help the organizers in planning the Summit. Space may be limited and expressing interest in the event does not necessarily guarantee your participation. A ticket system will be announced at a later date.

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* 1. Name

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* 2. E-mail

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* 3. Phone

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* 4. School Affiliation(s)

Harvard Business School (HBS)

Harvard College (FAS)

Harvard School of Dental Medicine (HSDM)

Harvard Divinity School (HDS)

Harvard Extension School (DCE-FAS)

Harvard Graduate School of Design (GSD)

Harvard Graduate School of Education (HGSE)

School of Engineering and Applied Sciences (SEAS-FAS)

Faculty of Arts and Sciences (FAS)

Harvard Kennedy School (HKS)

Graduate School of Arts & Sciences (GSAS-FAS)

Harvard Law School (HLS)

Harvard Medical School (HMS)

Harvard School of Public Health (HSPH)

Graduate School of Design (GSD)

Radcliffe Institute

Other (please specify)

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* 5. Graduation Year(s)

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* 6. What do you expect from the Alumni Summit?

Lectures/Panels

Networking

Group Discussions

Information about Alumni Activities

Entertainment

Other (please specify)

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* 7. Do you have any specific interests or suggestions?

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* 8. How would you consider contributing to the Alumni Summit?

Summit Registration Fee

Sponsorship (financial support)

In-kind Support (donating space, materials, food, refreshments, etc.)

I am unable to contribute

Other (please specify)