Mathposium Registration Form
Hi! Thanks for showing interest in the Mathposium. Please fill out the registration form so we can get a good idea of how much food to order, any dietary restrictions, and accessibility options we may need. Please reach out to me if you need anything!
~ Darsh(gandhi.darsh03@gmail.com)
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email *
Institution *
Department *
Category (choose all that apply) *
Required
Do you identify with/belong to any of the following: under-represented minority in STEM(such as Hispanic/Latino, Native American/American Indian, Alaskan Native, Pacific Islander, African American, etc), LGBTQ+, woman/non-binary in STEM, first-gen college student/first in family to attend college in the US, low-income, without family/connections in academia, or are a person with disability.
You are not required to respond to this question, and your response has no effect on your registration. This question helps gauge our impact on underserved populations in STEM.
Clear selection
Dietary Restrictions
Accessibility/Accommodations
Other Questions/Comments/Concerns
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy