Associated Students of Willamette University

Community Registration

Full Name*
Are you a Willamette Alum?Yes
No
Alumni Year
Social Justice interest or experienceImmigration
Education
Health
Poverty
Sustainability
Other Social Justice interest/experienceInterest or experiences other then listed above.
TitleIf you gained any experience, please list your title.
Group/Organization/CompanyPlease list the Social Justice group you gained experience with.
Attending the SSRD programAre you attending the SSRD program on April 17th (9-5pm)?
Yes
No
“Breaking the Bubble” eventAre you attending the “Breaking the Bubble” event on April 17th (3:30-5pm)?
Yes
No
Space to display informational materialsWould you like space to display informational materials about your Group, Organization, or Company?
Yes
No
If yes, what materials will you bring?