First Name *

Last Name *

Pronouns

Email *

Email (Confirmation) *

Affiliation *
- Select Option GVSU Student GVSU Faculty/Staff Other

Please note that this dinner is intended as a community building space for GVSU students, faculty, and staff. External community members are encouraged to seek out other spaces for connection through the Kaufman Events calendar.

Year at GVSU *
- Select Option Freshman Sophomore Junior Senior Graduate Student Not listed Please specify a value for Year at GVSU

Department/Division

How did you hear about this event? *
- Select Option Kaufman Newsletter Kaufman Social Media Kaufman Website GVSU Class LakerHub Slide Word of Mouth Not listed Please specify a value for How did you hear about this event?

Which class? *

Do you have any accessibility concerns we should be aware of? *
- Select Option Yes No

If yes, please explain: *

Do you have any dietary considerations we should be aware of? *
- Select Option Yes No

If yes, please explain: *

Would you like to receive Kaufman's e-newsletter to hear about future opportunities? *
- Select Option Yes No I already do!