Theme Submission Form

Please don't fill out this input box.

Please direct questions to Dr. Keri Franklin (KFranklin@missouristate.edu), or Mary Ann Wood, Director, Public Affairs Support (maryannwood@missouristate.edu).

First name

Last name

Position at university Please Select Student Staff Faculty

Department (if faculty/staff)

Contact email

Contact phone

Suggested theme title (optional)

Theme descriptionProposal should include a written description of the theme idea and how it would fulfill the above criteria, including specific examples of curricular and co-curricular activities that could take place.

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Form UUID Site Name Submit  Clear