Graduate Student Conference 2021 Registration Form

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Please fill the questions.

1. First Name

2. Last Name

3. Your Affiliation

3. Your Affiliation

University of Illinois at Urbana-Champaign

Other (Write your affiliation below)

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4. Your Department

5. Your E-mail

6. Are you interested in attending a virtual "Meet & Mingle" on Thursday, March 4th from 7pm to 8:10pm Central Time? (BYO snacks, drinks, pets, etc.)

YES, I am interested.

MAYBE.

NO. I am not interested.

Please be advised that the Graduate Student Conference will be recorded. Participants may be captured in photographs, audio, and/or video recordings which may be used in promotional or news content by the University of Illinois. The College of Education assumes that participants of this event consent to and waive any right to inspect or approve the finished photography, videography, or associated audio recordings. If you do not give consent to have your photo, audio, or video used in promotional or news items by the College of Education, contact Bianca Lopez at Bylopez2@illinois.edu.

If you have any questions, feel free to contact us at gsc@education.illinois.edu.

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