OASIS Conference Registration 2019
This is the official registration for the 2019 Out and Succeeding in STEM (OASIS) Conference.
Filling out this form to completion tells us you will be joining us for the duration of the conference.
It should only take 10-15 minutes to complete your registration.

Please feel free to contact us at info@theoasisconference.com with any questions or concerns.
Email address *
Please re-confirm your email address *
Your answer
Name and Pronouns
What is your preferred first name? *
Your answer
What is your full legal last name? *
Your answer
What is your full legal first name? *
Your answer
What are your preferred pronouns? *
Required
Emergency Contact (Optional)
Do you have an emergency contact you would like to inform us of? If so, please fill out the following section. All fields below are completely optional.
Emergency contact name
Your answer
Emergency contact relation to you
Your answer
Emergency contact phone number
Your answer
In the rare event that we need to call the emergency contact specified above, what name and pronouns should we use when referring to you?
Your answer
Personal Information
I am a... *
Which area of STEM interests you the most? *
How did you hear about the OASIS Conference? *
Transportation
What school are you affiliated with? *
Your answer
Would you find it helpful if a chartered school bus were sent to your school to transport you to the conference? *
Would a lack of provided transportation prevent you from attending the conference? *
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