Women's History Month Submission Form

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Women's Center

The Women's Center is collecting information to be included in the Calendar of Events for Women's History Month (WHM), in March of 2013. The national theme for WHM 2013 is "Women Inspiring Innovation Through Imagination: Celebrating Women in Science, Technology, Engineering and Mathematics." We would like to have all programs pertaining to women listed on our calendar in order to help publicize these events.

All fields with * are required

Program Information

Program Title: *

Short Description [topic of lecture, background or expertise of speaker, etc]: *

Date: * (mm/dd/yyyy)

Time: * (hh:mm am/pm)

Location: *

Sponsor(s): *

Type of Program (can check more than one): *

Lecture Discussion WorkShop
Special Event Movie Entertainment
Exhibits(special hours?) Miscellaneous

Admission Charge: *

Restrictions (if any):

Targeted Participants:

Open to public: * Yes No

Students only: * Yes No

Personal Information

In case questions arise regarding this submission:

[For Consistency, it is suggested that one person serve as contact for each department or organization]

Contact Name: *

Contact Email Address: *

Contact Telephone #: * (XXX-XXX-XXXX)

Department Office #:

WESTERN ILLINOIS UNIVERSITY - STUSERV

Sherman Hall / 1 University Circle

Macomb, IL 61455 USA

(309) 298-1414

Western Illinois University: Macomb Campus

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Women's History Month Submission Form