PIA Submittal

First and Last Name

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Event Date

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Event Description and Location

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Chose one or more

If Program Other

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For Black Spend - include photo of the establishment or receipt, and the total spend.

Black Spend Amount

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For Social Action Events:

Is this a Good Health Event? Invalid Input

Scholarship Related Event Questions:

Funds were dispersed for Scholarships at the event. Invalid Input

If Yes above, how. much in Scholarship Funds were disbursed?

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Number of Sigmas In Attendance

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Event Co-Sponsored with Zeta Invalid Input

Number of Zetas at the Event

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Total In Attendance

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Event Hours

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I am not a robot.(*)

Refresh Invalid Input