2024 RISE Celebration Attendance Application

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Company* This field is required.
4
Phone Number* This field is required.
Country Code
Area Code
Phone Number
5
LinkedIn* This field is required.
6
Are you affiliated with UCSF?* This field is required.
YESNO
7
Please check all that apply.* This field is required.
Faculty
Student
Staff
Alumni
Other
8
Why do you want to attend the RISE Celebration?* This field is required.
0/50
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How did you hear about the RISE Celebration?* This field is required.
Email
Media/News Story
Web Search
Word of Mouth
Other
10
If Other, please describe.* This field is required.
11
Newsletter
Yes, please add me to your mailing list!
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