20th Annual Jeanne Clery Lecture Series RSVP Form

20th Annual Jeanne Clery Lecture Series RSVP Form
Email*
example@example.com
First Name*
Last Name*
Please select your affiliation*
Ticket Type*
Do you need access to real-time captions as a disability-related accommodation?*
Do you need access to a sign language interpreter as a disability-related accommodation?*
Any additional accessibility accommodation requests or comments?
Please indicate your level of agreement with the following statement: I feel confident identifying forms of digital harm, including deepfakes and non-consensual image sharing.*
Please indicate your level of agreement with the following statement: I know what steps to take if I or someone I know experiences online harassment or non-consensual image sharing.*
What questions do you have about digital safety that you hope will be addressed during this event?
How did you hear about this event?*

EmailWebsiteSocial MediaFlyer/PosterWord of MouthOther
Should be Empty: