Black History Month 2023 Workshop Sign-Up
PBFSA will have our third annual Black History Month Workshop series in February 2022. We are excited to offer educational, insightful, and uplifting workshops for our Palomar students, faculty, and community.

Please fill out the following form (if you are presenting more than one workshop, please fill out the 1 form per workshop).

Forms are due by Monday, January 9th. 
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email address *
Workshop Title *
Workshop Description (please provide a brief description about what your workshop will cover) *
Will you have co-presenters? If so, please provide their names?
Location of workshop:  *
Length of Presentation *
Preferred Date of Workshop (must be between February 1 - 28, 2023)

* February 20th is a holiday
 *
MM
/
DD
/
YYYY
Preferred Time of Workshop *
If your preferred date is unavailable, what would be your second date of choice?  (must be between February 1 - 28, 2023) 

* February 20th is a holiday
MM
/
DD
/
YYYY
Any comments about your workshop?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms