JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2018 Black History Month Calendar Submission
In recognition of Black History Month, the Center for Inclusion and Cross Cultural Engagement will coordinate a university-wide calendar to promote scheduled events. Please submit your event (s) by Thursday, January 11, 2018. If you have questions or would like additional information, please contact
inclusion@olemiss.edu
or 662.915.1689.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Sponsoring Department/Organization
*
Your answer
Primary Contact Name
*
Your answer
Primary Contact Email Address
*
Your answer
Primary Contact Phone Number
*
Your answer
Event Title
*
Your answer
Type of Event
*
Lecture
Dialogue
Performance
Reception
Film
Panel Discussion
Other:
Event Date(s)
*
Your answer
Event Start Time
*
Your answer
Event End Time
*
Your answer
Event Location
*
Your answer
Event Target Audience
*
All
Students
Faculty/Staff
Grad/Professional Students
Other:
Event Description (250 words or less)
*
Your answer
Event Learning Outcomes (if applicable)
Your answer
Do you have an image or flyer to promote your event?
*
Yes, please email to
inclusion@olemiss.edu
by Friday, January 12th.
No
Additional details or information:
Please include any additional details or information (i.e. admission fee, registration, free food, etc.) regarding the event.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Mississippi.
Report Abuse
Forms
