KCMHC Explore Your Future 2025 - Healthcare Career Interactive Exhibit Booth Registration Form

Event: Explore Your Future 2025
Date: Tuesday, October 7, 2025
Time: 9:00 AM to 1:00 PM
Location: Hy-Vee Arena
Set-up Time: 8:00 AM to 8:45 AM

Organization Information

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* 1. Organization/Hospital Name:

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* 2. Primary Contact Name:

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* 3. Title:

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* 4. E-Mail Address:

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* 5. Phone Number:

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* 6. Secondary Connect (Day-of event):

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* 7. Secondary Contact (Day-of event) phone number:

Career Activity Details

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* 8. Career Focus/Title:

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* 9. Brief description of activity for students (use this to get the students excited!) in 30 words or less:

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* 10. Activity Duration (please keep to five minutes or less):

Logistics & Requirements

Provided by the event: Standard 6-foot table, 2 chairs. 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.

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* 11. Additional Needs (check all that apply):

Electrical outlet access

WiFi/Internet Access

Additional Table Space

Additional Chairs

Banner/Poster Display Space

Water Access

Storage Space for Materials

Special Flooring/Protection

Need to Ship Items Prior to Event

Other (please specify)

Giveaways

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* 12. No giveaways should be brought to the exhibit area in order to keep the students hands free to participate. If you do have giveaways or handouts (plan for 1,000 students), they must be provided by October 1, 2025. They will be added to the student's take-home bag. We will coordinate with you based on your choice below:

I have no giveaways or handouts.

I have giveaways or handouts - I will ship them.

I have giveaways or handouts - I need them picked up.

Staffing

We are planning for two attendees per table with lunch/snacks provided. If you have additional staff or a rotation of staff, they must be registered in advance below. Specific names can be added closer to the event if needed, but please provide an accurate number of staff for food planning.

KCMHC Explore Your Future 2025 - Healthcare Career Interactive Exhibit Booth Registration Form

Question Title

* 1. Organization/Hospital Name:

Question Title

* 2. Primary Contact Name:

Question Title

* 3. Title:

Question Title

* 4. E-Mail Address:

Question Title

* 5. Phone Number:

Question Title

* 6. Secondary Connect (Day-of event):

Question Title

* 7. Secondary Contact (Day-of event) phone number:

Question Title

* 8. Career Focus/Title:

Question Title

* 9. Brief description of activity for students (use this to get the students excited!) in 30 words or less:

Question Title

* 10. Activity Duration (please keep to five minutes or less):

Question Title

* 11. Additional Needs (check all that apply):

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* 13. Number of staff attending:

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* 14. Names and email of additional staff attending:

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* 15. Do you have any accessibility considerations?

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* 16. Do you have any safety requirements we need to know about?

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