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Student Interest & Engagement Form

Thank you for your interest in BeYou@Brockport. Information provided will be used to connect you with engagement opportunities that will support your growth and success at SUNY Brockport.

  • Name Name *
  • Phone Phone * - -
  • Racial Identity
    Racial Identity
  • INTEREST AREAS *
    INTEREST AREAS
  • Affinity groups, programing, and support (Select all that apply):
    Affinity groups, programing, and support (Select all that apply):
  • Data Collection and Usage Acknowledgement* *
    Data Collection and Usage Acknowledgement*
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