Lesbian, Bisexual, Gay, Transgender Resource Center

Michigan State University

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302 Student Services Building
Michigan State University
East Lansing MI 48824
Phone: (517) 353-9520
Fax: (517) 432-1495
Email: lbgtrc @ msu.edu

Monday-Friday 8:00 am - 5:00 pm
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Michigan Campus Alliance at MSU Leadership Summit – 2008

Please fill out the following form to help Michigan State University better serve you and help make your experience at the summit an enjoyable one. When you submit the form, the contents are emailed to the administrative assistant in the LBGT Resource Center, who will email you an acknowledgement. (If you prefer, you may print this form, fill it in, and mail it with your check to the address at the bottom.)

We are continuing to accept registrations through Friday, November 14.

More details about programming and workshops.

Basic Information

Your legal name (the name on the check you're going to send):

Preferred name (how you want to be known at the conference):

Age (you must be 18 or above):

Email address:

Phone number(s):

Mailing address:

Your institution:

Undergraduate student Graduate student Alumni
Faculty Staff Community member

Are you your institution's elected MCA representative? No Yes

Are you a nominee for an MCA executive board position? If so, which position?:

Needs

Do you have any accessibility needs? (E.g., ASL, wheelchair access, et cetera?)

Do you have any dietary needs? (E.g., vegetarian, vegan, gluten free, et cetera?)

Do you require assistance with housing? No Yes

If 'no', please skip down to Payment; if yes, for:
Friday night Saturday night

Please choose one of these housing assistance options:

Group slumber party: Bring a pillow and a sleeping bag and camp out with a group of other summit attendees in one of our caucus rooms right in Snyder-Phillips Hall, slumber party style. If you prefer large groups of people, this option may be the one for you.
MSU volunteer's couch: Sign up to be paired with an MSU host student with an empty couch or futon. If you're planning on spending more than one night or are looking to know people more closely, this option might be for you. (Availability of this option may be limited.); If you choose this option, do you have any specific needs or concerns?

Submit form

Please print this form for your records before submitting!
Don't skip the payment step below this!

Payment

Registration for the summit requires a simple $10 fee for food. If you register after Friday, November 7, please pay upon arrival.

If you pay and register and we find we are overbooked, we will refund your money. If you pay and register and do not attend, your money cannot be refunded.

Mail your check (payable to "Michigan State University") to:

LBGT Resource Center
302 Student Services
Michigan State University
East Lansing MI 48824-1113

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