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University Project
For Civic Engagement
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Event Form
Name and Email Address are required.
Name:
E-mail Address:
Phone Number:
Status
Faculty
Staff
Department or Office:
Event Title:
Requested Amount ($500, or $1,000):
Indicate the Focus of the Event. (Check all that apply.)
Reading
Writing
Basic Math (Pre-Algebra)
Advanced Math (Algebra and Beyond)
Science, Technology, Enginering, or Math
English Language Learners (Spanish)
English Language Learners (Other)
Briefly Describe Your Proposed Event and How it Will Advance the Objectives of the University Project
University Project for Civic Engagement :
Brian.Birch@UVU.EDU
| 801.863.8361 | ROOM BA-216C
