Equity and Social Justice Symposium | Cultural Market Sign Up

Please fill out the form below to register to present and offer a culturally specific food item for this year’s Cultural Market. The food item should be able to serve at least 50 sample sizes.

Name:
Email:
Phone Number:	( ) - Second three digits Last four digits
Are you a student, faculty, or staff member?:	Student Faculty Staff
Culturally specific food you would like to present at the market:
Brief description of your dish and its connection to your culture:
Will you submit a recipe for Chartwells to make your dish?:	Yes No The ingredients must be enough for approximately 50 bite size samples.
Will you work alongside Chartwells to prepare your dish?:	Yes No
Can you ingredients be purchased at a local grocery store? :	Yes No
If you selected no, where can the ingredients be sourced?: