Spring 2023 UCLA Life Sciences LGBTQIA+ Faculty, Staff, Grad Student, and Postdoc Social Hour

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This is the RSVP form for the Spring 2023 UCLA Life Sciences LGBTQIA+ Faculty, Staff, Grad Student, and Postdoc Social Hour sponsored by the UCLA EEB Department, the Life Sciences Division, and CEILS. This event will take place on Friday, May 26th from 4 - 5 PM at the Hershey Hall South Courtyard. Please RSVP here so we can determine how much food/beverages to provide. Feel free to fill out or leave blank sections depending on your comfort level. Responses from this survey will remain private and will be used to give us an idea of the community we are serving and what kind of future events might be most beneficial for us. Thanks!

[OPTIONAL] What is your email?

[OPTIONAL] What is your name?

[OPTIONAL] What are your pronouns?

This gathering is meant for faculty, staff, students, and post-docs in the Life Sciences division who identify as lesbian, gay, bisexual, transgender, queer, questioning (one's sexual or gender identity), intersex, two-spirit, asexual/aromantic/agender/androgynous, or of other related identifies (i.e., LGBTQIA+). Do you identify as a member of the LGBTQQIP2SAA Community?
*

Yes

Not Sure

Prefer not to say

[OPTIONAL] What is your primary departmental affiliation?

[OPTIONAL] What is your job title/position?

[OPTIONAL] Do you have any dietary restrictions or allergies that we should be aware of (e.g. vegan, peanut allergy, etc.)

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