DePaul CAEA Event Feedback Form

Instructions

The Center to Advance Education for Adults (CAEA) at DePaul University and the School for New Learning thank you for attending the President's Diversity Series performance on April 16th of Erasing the Distance's "Facing the Rain". If you were unable to complete the feedback form after the session, please complete this form in its entirety. The data will be used for quantative purposes only and is completely anonymous, unless you decide to provide your information.

Due to such huge interest, we'd love to bring Erasing the Distance back for an entire project including trainings and a feature performance by their talented actors of "DePaul Stories: The People We Know!" If you or your organization/class may be interested or if you're interested in sharing your story, please complete that section of the feedback form.

Thank you!
DePaul University Center to Advance Education for Adults

*1. How likely are you to come back and participate in other DePaul CAEA events?

Very Likely
Somewhat Likely
Not Sure
Unlikely
Very Unlikely
Not at All

2. Please Explain ...

3. What attracted you to the event? / Why do you think this topic is important?

4. What else would be helpful to you or your organization to learn/discuss?

5. Please provide your level of interest. (Select as many responses as you like.)

I am interested in Erasing the Distance returning for training.
I am interested in attending when Erasing the Distance performs: "DePaul Stories-The People We Know!"
I am interested in telling my story. Please have Erasing the Distance contact me confidentially.
I am interested in getting more involved with CAEA programming.
I am unable to contribute at this time, but am interested in getting more involved in CAEA programming.
I am unable to contribute at this time, but am interested in getting more information about SNL's Graduate Programs, including Masters of Arts in Educating Adults.

6. If you're interested in further information OR you'd like to donate, please provide your name:

7. Phone:

8. Email:

9. CAEA is now accepting donations to continue providing programming like the one you attended. If you'd like to make a donation, please make your check or money order payable to "DePaul University" or pay via credit card below. Suggested donor amount for an event is $25.00-$50.00. If your organization is willing to donate more, please contact caea@depaul.edu for more details.

Mastercard
Visa
Discover

10. Donation amount: (ex. $50.00)

11. Credit card number:

12. Credit card expiration date: (Mo/Year)

( * = required field )