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UCA Women's Leadership Network Kick-Off Reception - Fall 2019
Thursday, September 19th |
4:00 - 6:00 pm
UCA President's House, 140 Donaghey Ave, Conway, AR 72034
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First Name
(Required.)
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Last Name
(Required.)
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If working out the home, please list your Employer & Title
(Required.)
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Email
(Required.)
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Phone
(Required.)
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Please list any dietary restrictions.
(Required.)
UCA would like to collect demographic information to help us better serve our customers and event participants. These questions are voluntary and any information you provide will remain confidential and will only be used in aggregate form.
What is your gender?
Male
Female
Prefer Not To Answer
Please select the category that includes your age:
17 or younger
18-24
25-34
35-44
45-54
55-64
65 or older
Which of the following best describes you?
American Indian/Alaska Native
Asian
Black/African American
Hispanic/Latino
Native Hawaiian/Pacific Islander
White/Caucasian
Two or More Races
What is the highest level of education you have completed?
Some high school
High school or equivalent (GED)
Some college
Trade/technical/vocational certificate
Associate degree
Bachelor's degree
Master's degree
Professional degree
Doctorate degree
