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OMB No.: 1880-0529
Expiration Date: 11/30/00
Privacy Notice

The United States Department of Education and
The President's Initiative for One America

Campus Week of Dialogue 2000

Many Paths, One Journey: Building One America

October 10-17, 2000
Participation Reply Form

 

By participating in this historic effort, you will be helping to lead the country in a national conversation about America's racial diversity and about the strength it brings our nation. We appreciate your commitment to helping our country by organizing these events on your campus.

Name of College/University

Street Address
City
State
Zip
Contact Name:
Phone:
Fax:
Email:

What activities will your campus organize?

Campus Town Hall Meeting on Race

 Date, if known:

Campus-Community Partnerships

 Date, if known:

Student Leaders Meeting

 Date, if known:

Other Campus or Community Activitie(s) (Please describe below)

Don't know, but would like to receive more information
For more information please visit the Campus Week of Dialogue web site at www.ed.gov/campusdialogue/ for detailed information on conducting a dialogue session, and other helpful information.
If you can't schedule an activity during this week, indicate when you will organize your campus events
Date:

Please complete this form through our website: http://www.ed.gov/campusdialogue/ or respond by fax as soon as possible to: Donald Conner (202) 502-7873. If you have questions or comments, call Donald on (202) 502-7818 or call ReShone Moore on (202) 502-7893.

Thank you!

Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The burden estimate for this form is five minutes. If you have a comment regarding the time estimate or suggestions for improving this form please write to: U.S. Department of Education, Washington, D.C. 20202-4651.

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This page last modified July 6, 2000(gkp)