First Name:
Last Name:
Department Phone
Cell Phone
Email
Department
Position
How many years have you been part of UC
Did you graduate from a Cincinnati Public High School?
Yes
No
If yes, Which Cincinnati Public High School?
Would you be interested in assisting UC's Enrollment Management office with outreach to Cincinnati Public High Schools?
Yes
No
Would be interested in participating in future AABMS Monthly Black Male Socials?
Yes
No
Maybe
What is your preference for general body meetings?
in-Person
Hybrid(in-person with virtual attendance option)
Virtual
What is your work schedule when we return in the fall?
Work virtual 5 days a week
Work in the office 5 days a week
Work hybrid schedule
* Hybrid - Work from home & Work in the office
What are your desired outcomes and/or suggested improvements to our ERG organization for the next academic year?
Do you have any additional information you would to share?
Submit
iFrame Code
Click the button below to caopy your embed snippet
iFrame code
Copy Embed Snippet