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Survey Information for Event

Congratulations on your acceptance to this event; we are excited to see you in Cincinnati! Please complete the survey below, so we can plan for your arrival.

Note: The following will be included in this experience at no cost to you:

Your meals
Travel to and from Cincinnati for the event (if necessary)
Travel within Cincinnati during the event (if necessary)

Name(Required)

First Last

Phone(Required)

Email(Required)

Preferred Pronoun(Required)

(e.g., she/her, he/him, they/them)

Would like your Preferred Pronoun to be displayed on your nametag?

Yes

No

University*(Required)

Graduation Date(Required)

Month

Day

Year

How do you plan to travel to Cincinnati?(Required)

Drive

Lyft/Uber

N/A -- I already live in Cincinnati

Other (indicate below)

Please provide details on mode of transportation.(Required)

Please provide additional information related to your travel to/from Cincinnati.

Will you have a car/your own transportation in Cincinnati during the event or will you need transportation to be provided?(Required)

Please share where you will be staying in Cincinnati during the event.(Required)

Lodging is not included in this experience, but if you need help arranging a place to stay, please indicate that here.

General Info

Emergency Contact Name(Required)

First Last

Relation to Emergency Contact(Required)

Emergency Contact's Phone Number(Required)

Emergency Contact's Email(Required)

Do you have any specific dietary needs?

Please select all options that apply to you.

Vegetarian

Vegan

Pescatarian

Gluten-Free

Kosher

Halal

Anything else?

Do you have any food allergies?

Do you have any special needs or disabilities that we can help to accommodate?

Is there anything else we can take into account to plan a trip that is comfortable and convenient for you?

Personal Photo

We will create a small networking book for your cohort. Please upload a photo of yourself. Selfies are fine.

Accepted file types: jpg, png, jpeg, Max. file size: 300 MB.

Did you learn about this opportunity from another individual? If so, they may be eligible for a referral bonus. Please provide:

Referral Full Name

First Last

Referral's position

Referral's email

Referral's Phone

We will be capturing photos and videos while you participate in AGS-hosted events. If you do not grant for your likeness to be captured and potentially used in future materials, please contact paige@accelerategreatschools.org.

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