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Walla Walla 509.527.4351 | Clarkston 509.751.4075 |
[email protected]
|
[email protected]
500 Tausick Way Walla Walla, WA 99362
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Home
SGA
SGA Advisors
Officers & Senators
SGA Platforms 19-20
Committees
Constitution
Financial Code
Agenda & Minutes
Student Activities
S & A Fee Budget
Student Clubs
Rec Center
CLK SGA
CLK SGA Advisors
CLK Officers & Executive Assistants
Code of Conduct
Clubs
Legacy Project
Students of Color Conference
Full Name
*
Preferred Name
Cell Phone Number
*
WWCC Student Identification Number
*
How do you ethnically/racially identify?
What is your gender identity?
I take most of my classes on:
*
The Walla Walla Campus
The Clarkston Campus
Online
Best form of communication to reach me:
*
Phone Calls
Texts
Email
Other
Phone Number
*
Email
*
If other, please specify
*
What do you hope to gain from attending the Students of Color Conference?
*
Dietary Needs
*
Vegetarian
Vegan
Kosher
Gluten-free
Nut-free
Non-dairy
Halal
Other
What is your t-shirt size?
*
Small
Medium
Large
XL
2XL
3XL
4XL
Please specify
*
Please mark preferred caucuses that you would like to attend
*
African American/Black
Asian American
LatinX
Native American/Indian/Alaskan Native
Biracial/Multiracial
African Diaspore
International
White
Middle Eastern/South Asian
Pacific American Islander
Please mark identity development that you would like to attend
*
Space is limited in Identity Development Workshop. Only students who identify with the workshop topic should attend. Other students may use this time for networking.
Women's Identity
QTPOC
Dreamers
Muslim
Students with Disabiliites
Men's Identity
Please describe any disability-related accommodations you would need in order to participate in the conference
Emergency Contact Information
*
Name
Relationship
Telephone Number
Did you attend last years Students of Color Conference?
*
Yes
No
How did you apply what you learned to make WWCC and your community a better place?
*
1. By committing to attend the 2020 Students of Color Conference (SOCC), I agree to:
Receive permission from my instructors to miss class
Thursday, April 23
and
Friday, April 24
Complete homework ahead of time and make arrangements for tests/quizzes
Notify my place of employment and take the time off of work from
April 23-25
Notify Nadine Stecklein immediately (509.527.4259 or
[email protected]
) if an emergency situation arises and you are no longer able to attend.
2. If selected to attend, I agree to read and sign all forms associated with this conference. Below is a sample list of forms that were filled out last year:
WWCC Release Form & Code of Conduct
Student Medical History
Risk Liability Form
SOCC Pre-conference Survey
SOCC Photo Release Form
SOCC Student Conduct Policy Acknowledgement Form
3. Travel & Hotel
Conference Costs (food, hotel, conference, travel) will be covered by WWCC Foundation.
Bring the necessary supplies, clothing and belongings for travel.
Be ready to leave the Walla Walla campus by
8 AM on Thursday, April 23,
with an anticipated return to the Walla Walla campus on
Saturday, April 25 at about 3 PM
.
Transportation will also be provided from the Clarkston campus. Details TBA.
Conference participants that choose to provide their own transportation, or are unable to take advantage of the provided transportation, will do so at their own expense.
All attendees will be paired with a roommate.
4. Review of Applications
Space is limited
All applications are
DUE February 15th
and will be reviewed by
February 20th
, and each candidate will be contacted by
February 21st.
*
By checking this box, I agree to the commitments listed in this document and, if selected to attend, I agree to read and sign all forms associated with this conference.
Name
*
Date
*
MM slash DD slash YYYY
Δ
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