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LGBTQIA+ Leaders Retreat
Thank you for your interest in attending the LGBTQIA+ Leader's Retreat! Please submit the form below to RSVP.
Date: January 21, 2024
Time: 10AM - 5PM
Location: Hampton/NN Rooms
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First Name
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Your answer
Last Name
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Your answer
ODU Email
*
Your answer
Do you identify as transgender?
Yes
No
Prefer Not to Disclose
Other:
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Gender identity (please check all that apply)
*
Female
Male
Non-Binary
Genderqueer/ Gender Fluid
Intersex
Questioning/ Unsure
Prefer Not to Disclose
Other:
Required
What is your classification?
*
Transfer
First Year
Sophomore
Junior
Senior
Graduate Student
Faculty/Staff
Guest
College/Department
*
Arts & Letters
Batten College of Engineering
Darden College of Education & Professional Studies
Health Sciences
Sciences
Strome College of Business
Other:
Do you have any dietary restrictions or allergies?
*
At this event, we may be providing catering and want to ensure we accommodate all dietary needs for our guests.
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For any questions or accommodations please reach out to Mallory Fields, Graduate Assistant for LGBTQIA+ Initiatives, at mpfields@odu.edu.
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