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Application for WIST21 Conference Waiver
This form is to apply for a conference admission cost waiver to cover the cost of admission or childcare expenses for those experiencing an economic hardship. While we cannot provide childcare at the conference nor can we provide funds to cover childcare, we can offer free conference admission to allow you to apply the cost of the conference to your childcare expenses.
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Email
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Your email
First & Last Name (Required)
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Your answer
Organization/Affiliation (Required)
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Your answer
Linkedin Profile URL
Your answer
How did you hear about the AWIS WIST (Women in Science & Tech) Conference and the waiver option?
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Your answer
STEM Interest Area
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Science
Technology
Engineering
Math
Other:
Please let us know if you belong to an underrepresented group in STEM. (This will not affect your chances of receiving the waiver it is only for diversity tracking)
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Yes
No
Are you requesting a conference admission cost waiver to cover childcare expenses? If so, while we cannot provide childcare at the conference nor can we provide funds to cover childcare, we can offer free conference admission to allow you to apply the cost of the conference to your childcare expenses.
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Yes, I would like to apply the cost of the conference to childcare expenses
No, I do not need childcare assistance
Are you requesting a conference waiver to cover the cost of attendance?
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Yes
No
Please tell us why you are interested in attending the conference. We would like to understand how the waiver will assist you in obtaining your goal for attending. (Required)
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Your answer
Do you identify in gender, race, or ethnicity with an under represented group in STEM? This question does not impact your application approval, it is only to ensure that we are measuring diversity across our programming.
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Yes
No
Thank you for submitting your application. We have a limited number of waivers available. We will be in contact with you shortly to provide you with the status of your request. If approved, you will be provided with a promo code that will allow you to register for the conference for free.
A copy of your responses will be emailed to the address you provided.
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