Engineering Experience Lunch: Broader Impacts Program

Guest information is required to ensure all campus visitors are aware of event procedures and guidelines. If the guest is also a prospective student, please register them separately as a student attendee.

Guest First Name*

Guest Last Name*

Relationship to student*

Guest Email Address*

Would you like a copy of your confirmation email sent to a parent/guardian?

Yes

First Name*

Last Name*

Relationship to student*

Email Address*

Event Accommodations

Do you have special dietary needs?

Gluten-free

Vegetarian

Other

Other dietary, food allergy or accommodation needs

Does your guest have special dietary needs?

Gluten-free

Vegetarian

Other

Other dietary, food allergy or accommodation needs

Do you or your guest require accessibility accommodations?*

Yes

Do you or your guest require accessible digital copies of any print material?*

Yes

What email address would you like the materials sent to?*

Do you or your guest require assistance in navigating the event?*

Yes

If you or your guest have mobility needs required to help navigate the event, please describe details more below:

Do you or your guest require a sign language interpreter?*

Yes

What form of sign language would need to be used by the interpreter?*

Please tell us of any additional needs you may have for this event. Please be as specific as possible.

If there is an additional accommodation that has not been met by the above options, please email dbrasington@ou.edu prior to the event.

Every effort will be made to accommodate advance requests; on-site requests cannot be guaranteed. Reasonable accommodations will be provided during the event. Please contact Dalton Brasington at dbrasington@ou.edu with any questions or for more assistance.

Youth Protection on Campus *

Please read and review the OU Youth protection policies and forms that can be found here.

Visitor Guidelines for Bringing Minors to the University can be reviewed here.

By selecting this box, you acknowledge that you have read and understand The University of Oklahoma’s Youth Protection Policy and recognize that if you or your student(s) who is(are) under the age of 18 attends a campus tour or event without the supervision of a parent or legal guardian, that they will need to be in compliance with the Youth Protection Policy.

Photography/Videography Notification *

I understand that the University often produces promotional material relating to its programs. I understand that as a participant at the Event, Minor may be included in videotapes or photographs taken during the Event. Therefore, without reservation or limitations, I, in my own behalf and on behalf of the Minor, hereby assign, transfer and grant to The University of Oklahoma, its successors, assignees, licensees, sponsors, any television networks, and all other commercial exhibitors the exclusive right to photograph and/or videotape the Minor and to utilize such videotapes and photographs and Minors name, face likeness, voice and appearance as a part of the Event, in advertising and promoting the Event or in advertising and promoting similar future events at no charge.

UNDERSTANDING OF PRIVACY POLICY

By submitting this form, you agree to allow the University of Oklahoma to use your data in a manner consistent with our privacy policy, including but not limited to event communication and future student recruitment.

Engineering Experience Lunch: Broader Impacts Program

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