Name: Afternoon Snack
Start: 2026-06-10T14:45:00-0400
End: 2026-06-10T15:00:00-0400

First Name*

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Last Name*

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Email*

A valid email address is required

Affliation*

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Role / Title*

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GEAR UP Partner School*

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Do you a represent a GEAR UP partner school or district?

Yes

No

Service Reach*

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Which setting that best describes your work:

Rural

Suburban

Urban

Higher Education

Community-based / Nonprofit

Corporate

Other

AIC Attendance*

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Is this your first time attending the Academic Innovation Conference?

Yes

No

Access, Inclusion & Support Needs*

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Dietary Needs*

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Communication*

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Would you like to receive:

Conference updates and reminders

Session materials after the event

Information about future events

Consent & Final Acknowledgements*

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I understand photos/videos may be taken for educational or promotional purposes

I agree to conference expectations for respectful and inclusive engagement

Success you have shared X tickets.

Academic Innovation Conference 2026