SLMHC Explore Your Future 2026 - Next Steps Registration Form

Event Information

Event: Explore Your Future
Date: Thursday October 8, 2026
Time: 9:00 AM to 1:00 PM
Location: Beal Center - 150 N Eatherton Rd, Chesterfield, MO 63005
Set-up Time: 8:00 AM to 8:45 AM

Organization Information

Question Title

1. Organization Name:

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2. Organization Type:

High School/Counseling Department

Training Program/Intermediary/Workforce

Post Secondary Education Institution

Employer/Healthcare Organization

Other (please specify)

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3. Primary Contact Name:

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4. Title:

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5. E-mail Address:

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6. Phone Number:

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7. Services you can provide students (check all that apply):

Academic Pathway Planning (courses needed)

Career Program Information

Scholarship/Funding Guidance

Internship Opportunities

Employment Opportunities

Post-Secondary Program Information

Certification Requirements

Training Program Details

Other (please specify)

Question Title

8. What are your primary expertise/focus areas (check all that apply):

Clinical Healthcare Careers

Healthcare Technology

Healthcare Administration

Allied Health

Healthcare Support Services

General Career Counseling

Financial Aid/Scholarships

Other (please specify)

Logistics & Requirements

Provided by Event: Standard 6-foot table, 4 chairs, designated next steps area. Spots with electrical access are limited. Please only request electrical access if your display requires electricity. Come with your devices fully charged -- but there will be an exhibitor lunch/break room where you can charge phones, tablets, etc. if needed.

Question Title

9. Please select any additional needs you have:

Electrical Outlet Access

WiFi/Internet Access

Additional Table Space

Banner/Poster Display Space

Other

Staffing

The event team is planning for two attendees per table with lunch/snacks. If you have additional staff or a rotation of staff, they must be registered in advance. Specific names can be added closer to the event, but the number of staff attending is needed immediately for food planning.

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10. Number of staff attending:

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11. Staff names and e-mail:

Special Considerations

SLMHC Explore Your Future 2026 - Next Steps Registration Form

Question Title

1. Organization Name:

Question Title

2. Organization Type:

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3. Primary Contact Name:

Question Title

4. Title:

Question Title

5. E-mail Address:

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6. Phone Number:

Question Title

7. Services you can provide students (check all that apply):

Question Title

8. What are your primary expertise/focus areas (check all that apply):

Question Title

9. Please select any additional needs you have:

Question Title

10. Number of staff attending:

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11. Staff names and e-mail:

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12. Do you have any accessibility requirements?

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13. Do you have any special requests or concerns?

SLMHC Explore Your Future 2026 - Next Steps Registration Form

Question Title

* 1. Organization Name:

Question Title

* 2. Organization Type:

Question Title

* 3. Primary Contact Name:

Question Title

* 4. Title:

Question Title

* 5. E-mail Address:

Question Title

* 6. Phone Number:

Question Title

* 7. Services you can provide students (check all that apply):

Question Title

* 8. What are your primary expertise/focus areas (check all that apply):

Question Title

* 9. Please select any additional needs you have:

Question Title

* 10. Number of staff attending:

Question Title

* 11. Staff names and e-mail:

Question Title

* 12. Do you have any accessibility requirements?

Question Title

* 13. Do you have any special requests or concerns?

1. Organization Name:

2. Organization Type:

3. Primary Contact Name:

4. Title:

5. E-mail Address:

6. Phone Number:

7. Services you can provide students (check all that apply):

8. What are your primary expertise/focus areas (check all that apply):

9. Please select any additional needs you have:

10. Number of staff attending:

11. Staff names and e-mail:

12. Do you have any accessibility requirements?

13. Do you have any special requests or concerns?