2011 Dallas SFL Regional Conference Registration
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1. Default Section
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1
. Personal Info - Put N/A in any box that is not applicable to you.
Personal Info - Put N/A in any box that is not applicable to you.
First Name
Last Name
School
City of School
State of School
Country of School
Field(s) of Study
Graduation Year
Email
Phone
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2
. What is your current status as a student?
What is your current status as a student?
High School Student
Undergraduate Student
Graduate Student (includes PhD, MD, and JD programs)
Non-Student
3
. Organization Information
Organization Information
Student Organization
Website
Facebook Group/Page
Email
Mission
Are you a group leader?
If yes, what is your title and responsibilities?
4
. What areas of liberty are you most interested in? (Check all that apply)
What areas of liberty are you most interested in? (Check all that apply)
Economic Issues - General
Free Market Institutions
International Trade
Federal Reserve
Government Regulations
Social Issues - General
Freedom of Speech
War/Anti-War
2nd Amendment Issues
Drug Prohibition
LGBT Rights
Philosophical - General
Objectivism
Social Contracts
Anarchism
Constitutionalism
Political - General
On-Campus Activism
Community Activism
Local Politics
Federal Politics
Unsure
Other (please specify)
5
. How would you rate your knowledge of libertarianism or libertarian issues?
How would you rate your knowledge of libertarianism or libertarian issues?
No Knowledge
Beginner
Intermediate
Advanced
Expert
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6
. How did you find out about the Students For Liberty Regional Conferences (check all that apply)?
How did you find out about the Students For Liberty Regional Conferences (check all that apply)?
SFL's Facebook Page
SFL's Facebook Advertisement
SFL's Blog
SFL's E-Newsletter
SFL Member (Please specify)
Twitter
Tumblr
Word of Mouth
On a Website or Blog (please specify)
Flyer
Other (please specify)
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7
. By submitting my registration to the Dallas Students For Liberty Regional Conference, I agree that I will be a representative of my school, my organization and myself with the purpose of gaining a greater understanding of liberty and how to promote it on campus. To that end, I will attend all lectures, workshops and other conference events. I will show respect towards other conference participants and speakers. I also give permission to the conference to take my photograph and use it for purposes as deemed necessary by Students For Liberty.
By submitting my registration to the Dallas Students For Liberty Regional Conference, I agree that I will be a representative of my school, my organization and myself with the purpose of gaining a greater understanding of liberty and how to promote it on campus. To that end, I will attend all lectures, workshops and other conference events. I will show respect towards other conference participants and speakers. I also give permission to the conference to take my photograph and use it for purposes as deemed necessary by Students For Liberty.
I understand and agree.
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