Civic Matters Submission Form

(e.g. student, faculty, staff, community partner, etc.) If you are a student please include your major and year at USM. If you are faculty please include your department and title. If you are a staff member please indicate your office and title. If you are a community partner please indicate your organization and title.

(e.g. student, faculty, staff, community partner, etc.) If you are a student please include your major and year at USM. If you are faculty please include your department and title. If you are a staff member please indicate your office and title. If you are a community partner please indicate your organization and title.

(e.g. student, faculty, staff, community partner, etc.) If you are a student please include your major and year at USM. If you are faculty please include your department and title. If you are a staff member please indicate your office and title. If you are a community partner please indicate your organization and title.

(e.g. student, faculty, staff, community partner, etc.) If you are a student please include your major and year at USM. If you are faculty please include your department and title. If you are a staff member please indicate your office and title. If you are a community partner please indicate your organization and title.

You must fill out this field if you are a USM student.

You must fill out this field if you are a USM student.

You must fill out this field if you are a USM student.