The University of Rhode Island Multicultural Center
74 Lower College Road
Kingston, RI 02881
Phone: 401-874-2851
Fax: 401-874-5952
Email:
mcc1@etal.uri.edu
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UNITY WEEKEND 2006

[ QUESTIONS MARKED WITH A * ARE REQUIRED ]

Submission Form

 
* 1. Name of the participant        
* 2. Telephone
  3. Alternate Phone
* 4. Email
* 5. Address Line 1
  6. Address Line 2
* 7. YearFreshman
Sophomore
Junior
Senior
Graduate
 
* 8. GenderMale          Female
* 9. Ethnicity  

Are there are other aspects of the applicant's identity that we should know about? (i.e. extra-curricular activity, student government, gay/lesbian advocate, academic honors, fraternity or sorority, person with disability, independent student, student athlete, etc.) If so, please tell us below:

  
 
 

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For more information about this site, contact the Multicultural Center at mcc1@etal.uri.edu

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