DEIB Campus Event and Program Form

1. Name of DEIB event/program:

3. Length of event/program:

4. Indicate the level of your DEIB event/program:

6. Start date/term:

(e.g., 1/2/21, fall 2021)

7. End date/term (if applicable):

8. Please provide a description of your event/program.

10. Person of contact (full name, position, and email):

12. Please provide a link (if available).

13. Please provide any additional comments you'd like to share about your event/program.