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Intercultural Welcome 2009 - RSVP Form

EIS Intercultural Welcome: Building Community Through Diversity  
Saturday, August 29, 2009
9:00 a.m. - 12:00 p.m.
(Continental Breakfast 8-9 a.m.)
St. Robert’s Auditorium


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First Name
Preferred Name/Nickname:
Last Name:
E-mail Address:
 
Mobile Phone Number:
 
Campus Residence (Building/Room #):
Gender:
MaleFemale
Sexual Orientation:
LesbianGayBisexualStraightOther
Number of Guests:
With which of the following ethnicities do you further identity? Please select all that apply.:
Black/African American
AfricanAmericanBlack
CaribbeanOther:
Latino/a - Hispanic
AmericanCaribbeanCentral American
CubanDominicanMexican
Puerto RicanSouth AmericanSpanish
WhiteOther
Middle Eastern
AmericanArabEgyptian
IranianIraqiIsraeli
LebanesePalestinianPersian
Saudi ArabianSyrianTurkish
Other
Indigenous/Native American
AlaskanAmericanHawaiian
Tribal/American IndianOther
White
AmericanAustralianCanadian
CaribbeanCentral AmericanEastern European
Western EuropeanScandinavianSouth American
Multiple ethnicities/heritagesOther
Asian
ChineseTaiwaneseAsian Indian
JapanesePakistaniKorean
FilipinoVietnameseHmong
ThaiCambodianLaotian
BangladeshiIndonesianSri Lankan
SingaporeanMalaysianOther
Pacific Islander
Native HawaiianGuamanian/ChamorroSamoan
TonganFijianOther
Decline to Stay
If Multiracial (please specify)
Are you registered to vote?
YesNo
Are you be interested in any of the following activities (select all that apply):
SocialDialogue SessionsLeadership Development
Cultural ProgramsAcademic Sessions/ResourcesGender/Sexual Orientation events
OtherClick here to edit text.
Would you be joining any cultural clubs and organizations this year?
Yes
No
EIS Peer Mentor Program helps first year/transfer students navigate your transition on campus. As a first year/transfer student you will be assigned a Peer Mentor. Do you have any concerns or questions that you would like the Peer Mentors to address at the welcome? Note: This is totally confidential.
 


Note: If you run into any problems registering online, please contact Mrs. Cindy CMlemore@lmu.edu or 310-338-5808. 

Disclaimer: All responses to this survey will be kept confidential. Your name or identity will not be linked in any way.