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Coffee Chat Drop out Form
This is the form to opt out for a specific round or to drop out of the program.
What is your name?
*
Is there a specific round you would like to opt out from?
You can select multiple rounds
Is there a specific round you would like to opt out from?
A
December 9 - 15
B
December 16 - 22
C
January 6 - 12
D
January 20 - 26
E
February 3 - 9
F
February 17 - 23
G
March 3 - 9
H
March 17 - 23
Did you want to drop out of the rest of coffee chats for the semester?
*
Did you want to drop out of the rest of coffee chats for the semester?
A
Yes, I would like to
B
No, I only want to opt out of this/these session(s)
C
Other
[Optional] Anything else you want to share?
If you wish to remain anonymous, you can use our
anonymous
feedback
form
.
Submit