2020 Urban Assembly Virtual Girls Conference - Registration Form
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We hope you can join us for this year's virtual conference on Wednesday, May 27 at 3PM! Please sign up below and you will be emailed a Zoom link to access the conference.

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First name: *
Last name: *
My gender identity is best described as (check all that apply): *
Required
What's your email address? Make sure it's one you check frequently so we can send you the link for the conference! *
What school do you attend? *
What grade are you in this year? *
Is there a phone number we can reach you at? Please list it below.
Which best describes your ethnicity? Please check off as many as you identify with. *
Required
Out out of the choices below, which do you identify with the most? *
What do you hope to gain from attending this virtual conference? You may check as many as you like. *
Required
How do you like to learn best? *
Would you be OK with us reaching out to you after the conference to get a testimonial from you about what the experience was like? *
Pre-Poll
Please rate how strongly you agree or disagree with the following statements.
Girl Code is the "dos" and "donts" of a friendship.
Clear selection
I know the definition of social-emotional learning. *
I believe having great relationships can help me in life. *
I want to e better at showing social-emotional skills. *
I am currently struggling being at home during this pandemic. *
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