DEIB Conference - Form Registration Type* Choose one General Arkansas State University Faculty/Staff/Student Are you registering additional attendees? How many? Choose one 0 1 2 First Name* Last Name* Email* Phone Number* Position* Any Dietary Restrictions? What best describes your understanding of Diversity, Equity, Inclusion, and Belonging?* I am new to this topic and I want to learn the basics. I have done this work for 2-5 years and am looking for new tools to continue the work. I have an advanced understanding of DEIB and am committed to learning and growing with new information. Are you registering for the pre-conference, Thursday, June 20, 1:30 – 3:30 p.m. (CT) via Zoom? Yes No Register Person #1 First Name* Last Name* Email* Phone Number* Position* Any Dietary Restrictions? What best describes your understanding of Diversity, Equity, Inclusion, and Belonging?* I am new to this topic and I want to learn the basics. I have done this work for 2-5 years and am looking for new tools to continue the work. I have an advanced understanding of DEIB and am committed to learning and growing with new information. Are you registering for the pre-conference, Thursday, June 20, 1:30 – 3:30 p.m. (CT) via Zoom? Yes No Register Person #2 First Name* Last Name* Email* Phone Number* Position* Any Dietary Restrictions? 2 What best describes your understanding of Diversity, Equity, Inclusion, and Belonging?* I am new to this topic and I want to learn the basics. I have done this work for 2-5 years and am looking for new tools to continue the work. I have an advanced understanding of DEIB and am committed to learning and growing with new information. Are you registering for the pre-conference, Thursday, June 20, 1:30 – 3:30 p.m. (CT) via Zoom? Yes No Please enter the characters displayed in the image below.* TOTAL: $-- -- Spots Left When you proceed to payment you will be redirected to New York Tech's Payment Processor. After you've completed your payment, you will be redirected back to www.nyit.edu where you will see the confirmation message. Proceed to payment