The Diversity Center

Retreat Across the Street Registration

Notification Timeline

Check your PLU email on May 1st for an update on your application!

Name:

Preferred Name on Nametag:

PLU Email:

Student ID:

Year in school:
1st Year
2nd Year
3rd Year
4th Year
4+ Years/Other
Graduate School

How did you hear about the Retreat Across the Street?:
Please check all that apply!
Flyer
Email
Friend or referral
PLU online events calendar
dCenter Website
Crossroads or Harmony
Resident Director
Faculty
Administrator/staff
Other:

List your identity group memberships:



Involvement

Please describe your involvement with GLBTQQAI2 activities on campus or at a previous school if you are new to PLU (please note: you do not need experience with involvement activities to attend the retreat):



Please describe your involvement with GLBTQQAI2 activities off campus (please note: you do not need experience with involvement activities to attend the retreat):



Questions

How would you describe PLU's GLBTQQAI2 community? If you are new to PLU, please describe your experience with the GLBTQQAI2 community in general. (please limit responses to 1-2 paragraphs)



Please present your reason for wanting to attend the Retreat Across the Street. (please limit responses to 1-2 paragraphs)



How do you see this retreat advancing your future goals for yourself?



Retreat Logistical Questions

Please list any special accomodations or dietary considerations that you have for the retreat:



Additional information you want us to know:



The Diversity Center, Pacific Lutheran University, Tacoma WA 98447