SLMHC Explore Your Future 2025 - Next Steps Registration Form

Event Information

Event:
Explore Your Future
Date: Thursday September 18, 2025
Time: 9:00 AM to 1:00 PM
Location: Detrick Building at Christian Hospital
Set-up Time: 8:00 AM to 8:45 AM
Organization Information
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):
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.
9.Please select any additional needs you have:
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.
10.Number of staff attending:
11.Staff names and e-mail:
Special Considerations
12.Do you have any accessibility requirements?
13.Do you have any special requests or concerns?