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Registration: Diversity Dinner Dialogues

Topic: Culture and Ethnicity
Date: October 24, 2011
Time: 5:00 P.M. - 7:30 P.M.
Location: UT Dallas Student Union Galaxy Rooms (SU2.602)

Please fill out the information below. A confirmation e-mail will be sent to you.

Available Seating
Students	50
Staff	10
Community	10
Faculty	10
Updated 10/05/11

 

Salutation: Make a Selection Dr. Mr. Ms.

First Name:

Last Name:

Enter Your Email:

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Classification: Make a Selection Freshman Sophomore Junior Senior Graduate Faculty Staff Community Member/Non-UTD

Primary Ethnicity: Make a Selection Hispanic/Latino African-American/Black Asian White/European American Indian Other

Gender:

Generation/Birth Year: Make a Selection Before 1959 1960-1969 1970-1979 1980-1989 1990-1999

Vegetarian Meal?: Make a Selection Yes No