Caltech STEMxDEI Conference Interest Form

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It's conference time! You can connect with graduate programs, faculty and students at other schools, as well as a wide range of companies. We are working on streamlining the process for funding and attending, so please fill out this interest form letting us know which ones you'd like to go to.

We've made this spreadsheet to help you https://tinyurl.com/STEMDEI. You can make a copy of it and then sort based on your interests and identities. Make sure you check the dates of the conference!

Priority will be given to first-time attendees and seniors.

What is your Caltech e-mail address? *

Student UID *

What first name should we use for the registration? *

What last name should we use for the registration? *

What is your cell phone number? *

Year at Caltech for the 2021-2022 academic year. *

Freshman

Sophomore

Junior

Senior or Super Senior

Grad Student

Other:

I have previously attended a conference. *

Yes

Indicate the conferences you would genuinely want to attend if you had funding. Use the spreadsheet to check dates, sort for various demographics, and learn more about each one. https://drive.google.com/file/d/1nU5-j7ryh5-QS4KHcZfS75K9s9zTNMKd/view?usp=sharing *

ABRCMS (Annual Biomedical Research Conference for Minority Students)

Grace Hopper

Richard Tapia Conference

SACNAS

AISES (American Indian Science and Engineering Society)

ERN (Emerging Researchers National)

Great Minds in STEM

Lesbians Who Tech & Allies Summit

LSMRCE (Louis Stokes Midwest Regional Center of Excellence Conference)

MANRRS (Minorities in Agriculture, Natural Resources, and Related Sciences)

NABG (National Association of Black Geoscientists)

NAM (National Association of Mathematicians) - Undergraduate MATHFest

NOBCChE (National Organization for the Professional Advancement of Black Chemists and Chemical Engineers

NOMA (National Association of Mathematicians)

NSBE (National Society of Black Engineers)

NSBP (National Society of Black Physicists)

O4U: Engineering

Out to Innovate Conference

SASE (Society of Asian Scientists and Engineers): Collegiate Conference

SHPE (Society of Hispanic Professional Engineers)

SWE (Society for Women Engineers)

Women of Color in STEM

Required

In case we have more sign-ups than slots, the following information will be used for prioritization purposes. YOU DO NOT HAVE TO DISCLOSE OR FILL OUT THIS QUESTION!

I identify as a woman*, feminine person, non-binary person and/or agender person using an inclusive definition

I identify as asexual, bisexual, fluid, gay, lesbian, pansexual, or queer.

I identify as a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin.

I identify as a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

I identify as a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

I identify as a person having origins in any of the black racial groups of Africa.

I identify as a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Why do you want to go to the conference?

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