4th Hybrid ILLC Conference Registration 2022
Thank you for registering for the conference, by June 10.  The conference will be held at Molloy College and online on June 21 and June 22 2022, between 10am and 5pm.   If you have specific diet requirements, or specific requests, the earlier you register, the better.  If you are an undergraduate student who submitted an abstract for poster presentation, please register after you hear of the outcome of your submission on June 7.
Sign in to Google to save your progress. Learn more
Your last name *
Your first name: *
Your email address *
Your phone number: *
You are: *
Your school, university, institution, organization, or affiliation: *
Choose your institution's type: *
Required
Your institution's zip code:
What is your gender? *
With which racial/ethnic group(s) do you most identify? Check all that apply. Please note that as required by the federal agency that funds us, we are using federal guidelines that you are welcome to check before you submit your answer (https://www.census.gov/topics/population/race/about.html) *
You will attend the conference *
Specific diet requirements: please specify if you plan to attend at least one day face-to-face; please write N/A if you have no specific diet requirement or will attend the conference exclusively online. *
Please specify any other requirements (e.g. ASL interpreting in addition to caption, baby-sitting).  Be as specific and detailed as possible and we will contact you individually about this. Please write N/A if you have none. *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms