DICE Inquiry Form

DICE Inquiry Form

This form is for use by both internal and external campus partners

Would you like to request DICE representation at an upcoming event? Are you interested in partnering with us on a new initiative? Are you seeking funding for a project? Complete the form below and someone from our office will follow up with you shortly.

Your First/Last Name*

Email address*

Phone number*

Your Affiliation*

Rutgers Faculty

Rutgers Staff

Rutgers Student

Community Partner

Rutgers Alumni

Other

Which department are you associated with?*

What unit do you work in?*

What school are you enrolled in?*

Select or enter value

The organization you represent (if applicable)

If you selected "other", please describe*

Event date*

Event time and duration*

Please select the level of participation from DICE*

Attendance as a guest

Volunteer

Tabling

Supply funding

Donate supplies or RU-branded items

Facilitate an activity or workshop

Collaborate on a project

Please specify the amount of funding

Please describe the event or initiative*

Please also provide additional details about the level of participation selected above. (e.g. what supplies are needed, how funding will be spent, etc.)

Send me a copy of my responses

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