Registration Form- In-person Interaction with Prof. Anurag Agrawal

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please provide your contact details so that we can share more information with you regarding the venue and date/time for Prof. Agrawal's visits to Houston in the US. Your contact details will be kept highly confidential and will not be shared with others.

The Houston event is completely in-person and there is no virtual component. We have limited spots available due to COVID restrictions, and hence we request you to only register if you are sure of attending the event in-person.

Current Tentative Schedule-

August 11 (Thursday) 10 AM-12 PM CDT - In-person networking event at University of Houston (Venue and exact time will be sent via email closer to the event date)

Confirmation of COVID-19 vaccination and adherence to indoor mask policy are mandatory for participation. You will be required to carry your vaccination proof to the event venue.

Email *

Full Name *

Current Designation and Affiliation (Degree, Field of Study and Institute) *

Current Location (City and State) *

Are you okay with complying with the Covid-19 regulations as mentioned above? *

Yes

Additional Comments or Questions

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

Forms