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Faculty/Staff Poverty Simulation Interest Form

This form is for faculty and staff interest only. If you are a student interested in the poverty simulation, please contact your instructor or department.

Faculty/Staff Name(*)

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Title(*)

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Email(*)

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School(*)

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Department(*)

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Please check your area of interest(s)(*)

Sending my students to the Poverty Simulation

Serving as a small group debriefer for the Poverty Simulation

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Please select your approximate number of learners

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Expected level of learners

Undergraduate

Graduate Program

Professional Degree Program

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What time of year would you prefer to have students involved? (check all that apply)

Fall

Spring

Summer

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(*)

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Faculty/Staff Poverty Simulation Interest Form