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Pitzer College Community Engagement Center Webinar Registration Form
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Thank you for your interest in our webinars!
Before you register, please tell us a little about yourself...
*
denotes a required field
First Name*
Is there another name you wish us to use in communications (i.e. preferred name)?
Last Name*
Birthdate*
Birthdate*
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What is your gender?
Cisgender Woman
Transgender Woman
Cisgender Man
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Please describe your gender:
Email Address*
Mailing Address*
Mailing Address*
Country
Street
City
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Postal Code
Cell Phone
Can we occasionally send you text messages at this number? (NOTE: Messaging rates will apply.)
Yes
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Please click the button that best describes you:
Please click the button that best describes you:
Prospective student
Prospective parent
High school counselor
Independent college counselor
CBO coordinator/program manager
Pitzer faculty/staff/student
Thank you! When you click "Submit", you will be re-routed to a confirmation page where you can sign up for the webinar via our vendor, Citrix Online. Citrix will ask you for your name, email address and date of birth.
You'll also receive a confirmation email with the webinar sign-up information, too! We look forward to hosting you online!
Submit
