Polsky Center Event Registration

You are registering for the following event:

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First name-

Last name-

Email address-

If you are a UChicago student, UChicago staff member, or UChicago faculty member, please provide your UChicago affiliated email address.

Current Primary Company, University, or Organization

This may be used for nametags at relevant events.

Profession

Corporate Partner
Ecosystem Partner
Entrepreneur
Founder
VC / Investor
Other Professional

Are you the founder of a startup?

Yes
No

How are you affiliated with the University of Chicago?

Select the option that best or most recently applies.

Select an option

What department(s) or division(s) are you a part of?

Check all that apply.

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CNetID-

This is the username you use for UChicago single sign-on. It is also the first part of your @uchicago.edu username. Example: CNetID@uchicago.edu

UChicago Grad Year

Would you like to sign up for relevant emails from the Polsky Center to learn about future events and programs?

Yes
I'm already signed up
No

Interest Areas

Check all that apply.

-- At the Polsky Center we embrace and encourage diversity and inclusion within our team and with the constituents and communities we serve. We invite you to answer some OPTIONAL demographic questions that will assist us in our effort to better understand our audience and develop content and programming that represents the diversity of our audience and participants. The Polsky Center will never share this information. The options provided in the questions below were adapted from the U.S. Office of Management and Budget (OMB) Standards in an effort to be more inclusive. To provide your feedback, please email polsky@uchicago.edu. -- OPTIONAL: Which of the following describes you?

Please select all that apply.

OPTIONAL: What is your gender identity?

Female
Male
Genderqueer/gender nonconforming
A different identity
Decline to state

OPTIONAL: Do you identify as any of the following?

Please select all that apply.

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