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* 1. I will be attending the event:
February 26, Tuesday
5:00-7:30 pm Dinner, Panel, Lightning Talks, Swag

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* 2. Please provide your name: Last

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* 3. Please provide your name: First

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* 4. Please provide your Email Address

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* 5. What are you interested in?

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* 6. What are you studying?

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* 7. What school do you currently attend?

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* 8. Please provide your shirt size

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* 9. Do you have any dietary restrictions or accessibility needs

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* 10. Are you currently lawfully authorized to work in the U.S. for any employer  as a (i) U.S. citizen or national; (ii) permanent resident; (iii) lawful temporary resident; (iv) foreign national admitted as a refugee; or (v) foreign national for whom asylum has been granted?

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* 11. (Optional) Attach your resume

PDF, DOCX, DOC file types only.
Choose File
No file chosen

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* 12. Would you like to learn or hear about anything specific at this event?

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