Equity and Social Justice Symposium | Cultural Showcase Sign Up

Please fill out the form below to register to showcase an item at this year's Cultural Showcase.

Name:
Email:
Phone Number:	( ) - Second three digits Last four digits
Are you a student, faculty or staff member?:	Student Faculty Staff
If faculty/staff, please list your department and job title:
Item to be showcased (art, poetry, fashion, etc.):
Please give a brief description of the item you plan to showcase: