Story Survey

Name(Required)

First Last

Pronouns

(If you would like to disclose.)

Please add a photograph you would like included in the publication of your story, unless you want your story to be shared anonymously.

Max. file size: 31 MB.

What does JEDI mean to you?

What would you like these communities to know about you? How have you incorporated JEDI into your career or personal life (as part of a community or as an ally)?

In what rope teams would you like to be spotlighted?

Release of Information(Required)

Yes

I hereby consent to the use by Excelsior University, or by any other authorized agent of Excelsior, of my name, likeness, photograph or other visual representation, as well as any oral or written comments or statements I may make concerning Excelsior University or its programs, in any print, audio, visual, or electronic medium in the sole discretion of Excelsior University.

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