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History and Heritage Month Survey

1. Name:

2. Email:

Please check the box next to the description of how much you’re interested in participating for any of the History and Heritage Months or Days below. If the Month or Day you’re interested in is not listed, please feel free to enter it in "Enter another option.”

For information about how to apply for funding from the Student Equity Department to support events, click here.

Black History Month: first committee meeting Wednesday, October 26th, 11:30am-1pm. Email studentequity@miracosta.edu for more information.

3. (Months) I am interested in serving as:

Space Cell	Committee chair	Committee member	Day-of volunteer
Black History Month (February)	Black History Month (February): Committee chair	Black History Month (February): Committee member	Black History Month (February): Day-of volunteer
Women’s History Month (March)	Women’s History Month (March): Committee chair	Women’s History Month (March): Committee member	Women’s History Month (March): Day-of volunteer
Asian & Pacific Islander Heritage Month (May)	Asian & Pacific Islander Heritage Month (May): Committee chair	Asian & Pacific Islander Heritage Month (May): Committee member	Asian & Pacific Islander Heritage Month (May): Day-of volunteer
LGBT Pride Month (June)	LGBT Pride Month (June): Committee chair	LGBT Pride Month (June): Committee member	LGBT Pride Month (June): Day-of volunteer
Latino/a Heritage Month (9/15-10/15)	Latino/a Heritage Month (9/15-10/15): Committee chair	Latino/a Heritage Month (9/15-10/15): Committee member	Latino/a Heritage Month (9/15-10/15): Day-of volunteer
Disability Employment Awareness Month (October)	Disability Employment Awareness Month (October): Committee chair	Disability Employment Awareness Month (October): Committee member	Disability Employment Awareness Month (October): Day-of volunteer
LGBT History Month (October)	LGBT History Month (October): Committee chair	LGBT History Month (October): Committee member	LGBT History Month (October): Day-of volunteer
Pilipino American Heritage Month (October)	Pilipino American Heritage Month (October): Committee chair	Pilipino American Heritage Month (October): Committee member	Pilipino American Heritage Month (October): Day-of volunteer
Native American Indian/Alaskan Native Heritage Month (November)	Native American Indian/Alaskan Native Heritage Month (November): Committee chair	Native American Indian/Alaskan Native Heritage Month (November): Committee member	Native American Indian/Alaskan Native Heritage Month (November): Day-of volunteer
Enter another option	Other: Committee chair	Other: Committee member	Other: Day-of volunteer

4. (Days) I am interested in serving as:

Space Cell	Committee chair	Committee member	Day-of volunteer
Martin Luther King, Jr. Day (1/16/17)	Martin Luther King, Jr. Day (1/16/17): Committee chair	Martin Luther King, Jr. Day (1/16/17): Committee member	Martin Luther King, Jr. Day (1/16/17): Day-of volunteer
Cesar Chavez Day (3/31/17)	Cesar Chavez Day (3/31/17): Committee chair	Cesar Chavez Day (3/31/17): Committee member	Cesar Chavez Day (3/31/17): Day-of volunteer
Day of Trans* Empowerment (4/17)	Day of Trans* Empowerment (4/17): Committee chair	Day of Trans* Empowerment (4/17): Committee member	Day of Trans* Empowerment (4/17): Day-of volunteer
May Day (5/1/17)	May Day (5/1/17): Committee chair	May Day (5/1/17): Committee member	May Day (5/1/17): Day-of volunteer
Juneteenth (6/19/17)	Juneteenth (6/19/17): Committee chair	Juneteenth (6/19/17): Committee member	Juneteenth (6/19/17): Day-of volunteer
National Coming Out Day (10/11/17)	National Coming Out Day (10/11/17): Committee chair	National Coming Out Day (10/11/17): Committee member	National Coming Out Day (10/11/17): Day-of volunteer
Day of Trans* Remembrance (11/20/16)	Day of Trans* Remembrance (11/20/16): Committee chair	Day of Trans* Remembrance (11/20/16): Committee member	Day of Trans* Remembrance (11/20/16): Day-of volunteer
Enter another option	Other: Committee chair	Other: Committee member	Other: Day-of volunteer