San Marcos UniverCity

2. Please complete this form if you are interested in participating in the 2024 San Marcos UniverCity. Only City of San Marcos residents are eligible to participate. San Marcos UniverCity is a series of informational sessions held once a week on Thursdays (5:30-8:30 p.m.), for 8 weeks beginning on March 30, 2024. 

   We will be taking applications beginning February 21st through March 16th. Applicants will be notified if they have been selected by March 20th.

   Class dates: March 30, April 6, April 13, April 20, April 27, May 4, May 11, May 18. Participants will be expected to attend all classes to graduate. If you are unable to attend a class, we ask that you email tharris@sanmarcostx.gov at your earliest convenience prior to the class for an excused absence. 

   This class will be provided in English only, but we are attempting to gauge interest in hosting a Spanish experience cohort. If you would be interested in participating in a class specifically for Spanish speakers, please contact tharris@sanmarcostx.gov.

4. Name
5. Email Address
7. Address
9. City
10. State
11. Zip Code
13. Your Neighborhood

    If known (for example: Blanco Gardens, Victory Gardens, Wallace Addition, Trace, etc.)

14. Phone Number
16. What do you hope to learn by participating in San Marcos UniverCity?
18. Any Dietary Restrictions?

    Dinner will be provided at these weekly events.  Please let us know if you have any dietary restrictions we should be aware of.

20. Racial/Ethnic Identity

    What racial and ethnic identity best describes how you self-identify? Select all that apply.

    1. Asian
    2. Black or African American
    3. Hispanic/Latino/Latiné
    4. Middle Eastern or North African
    5. Mixed Race
    6. Native American/Alaska Native/First Nations
    7. Native Hawaiian or Pacific Islander
    8. Southeast Asian
    9. White
    10. I prefer not to disclose
21. Gender Identity

    What is your gender identity?

    1. I identify as a woman
    2. I identify as a man
    3. I identify as non-binary
    4. I have another gender identity
    5. I prefer not to disclose
23. Disability/Chronic Condition

    Do you identify as a person with a disability or other chronic condition?

    1. Yes
    2. No
    3. I prefer not to disclose.
24. Accommodations

    We strive to enable all individuals to be able to engage fully. If you are in need of any of the following accommodations or need to request an alternate accommodation, please do so below.

    1. Access within room
    2. Advance copy of materials
    3. Large print
    4. Other

26. Individuals who require an auxiliary aid or service in a program, service, or activity of the City of San Marcos should contact the office of ADA Coordinator, Mandy Riske, at 512-393-8065 (voice) or call Texas Relay Service (TRS) by dialing 7-1-1. Requests can also be sent by email to ADARequest@sanmarcostx.gov as soon as possible, but no later than 72 hours before the scheduled event/program.    If you have any questions regarding accommodations, room layout, or other components of the event, please do not hesitate to reach out to Tiffany Harris via email (tharris@sanmarcostx.gov) or by phone at 512-393-8443. 

28. Comments

    Please let us know if you have any questions or have anything else you want us to know when considering you for placement in San Marcos UniverCity.  

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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

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