Seat at the Table Sign Up Sheet

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Thank you for your interest in taking a Seat at the Table! Please fill out the form below to contact one of the Seat at the Table hosts. Be sure to include your full name, email, cohort, host name, and your dish contribution at the community dinner.

Name: *

Email:

Are you a Forty Under 40 recipient? *

Yes

Cohort:

2012

2013

2014

2015

2016

2017

I'm not a Forty Under 40 but I am interested in applying for consideration in 2018.

Clear selection

Which Seat at the Table conversation would you like to attend? *

Prince George's County Advisory Board, '12-17, Upper Marlboro, TBA

Dr. Ashanti Bryant Foster, '16, Fort Washington, TBA

Hon. Candace B. Hollingsworth,'15, Hyattsville, TBA

I will bring: *

An appetizers/finger food

A starch (peas, corn, potatoes, beans, pasta, rice and grains)

A main dish (chicken, fish, beef, turkey, spaghetti, stir-fry)

A dessert (custard, cheesecake, sorbet, chocolate brownies, rice pudding)

Beverages (tea, soda, wine, cider, coffee)

Required

For those attending the PGCSIF Advisory Board dinner on August 12, 2017, please tell us what you'd like to bring.

Do you have any food allergies? *

Yes

Other:

If "yes," please specify:

Submit

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