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Exit Survey
Contact Information
*
First Name
:
*
Last Name
:
*
Email Address
:
*
Would you like to remain anonymous if your artwork is selected to appear in Metis?
Yes
No
Country of Origin/Nationality
Program/Major
*
Submission Category:
Writing
Original Art
Photography
*
Name of Submission
(as you would like it listed in publication)
*
How does it relate back to the theme "Reflections on Culture?"
(must be five sentences or less)
*
Please select all that apply to you.
Online/Distance Student
University Center Student
International Student
ESL Student
Domestic Student
Undergraduate Student
Graduate Student
Dual Credit Student
By submitting your work, you grant the Office of International Affairs and Outreach all rights to your work to be used in the publication of the book, as well as any future marketing needs.
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