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Event Registration Form

This form is for use by organizations wishing to register their event as a DiversiKey participation event. Once approved, the event will be listed in the DiversiKey calendar and can be used to satisfy DiversiKey program requirements.

Event information
Name of event
Brief description
How does the event support diversity and the goals of the DiversiKey program?
Date
Time
Organization Information
Name of organization
Street
Apt. number
City
State
Zip
Contact information
Last Name
First Name
Middle Name/Initial
Phone
Fax
E-mail