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FWIMD 2022 Registration Form
Welcome to the Florida Women in Mathematics Day 2022 Conference registration form.
https://sites.google.com/view/fwimd-2022/
* Indicates required question
Email
*
Your email
First Name
*
Please do not use nicknames.
Your answer
Last Name
*
Your answer
Phone (optional for tech support)
Please provide your phone number with the following format: 000-000-0000
Your answer
Email
*
Please provide an email address we may use to follow up with you for conference details! If you are a high school participant, please leave your legal guardian or a parent's email address.
Your answer
This is a hybrid event. One can either attend via Zoom or in person. Do you want to attend in person?
*
Yes - I will attend in person
No - I will attend on Zoom
Maybe
Current Status (Please choose more than one if applicable)
*
High School Student
Undergraduate Student
Graduate Student
University or College Faculty
K-12 Teacher
Industry Professional
Other:
Required
What is your affiliation?
*
Your answer
What is your current research interest, if applicable?
Your answer
In the next section, we want to know about YOU as an individual and how this conference can better serve you in the future!
Have you attended last year's FWIMD Conference?
Yes
No
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A copy of your responses will be emailed to the address you provided.
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