Badge/Name Information

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First Name

Middle Name

Last Name

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Company

Title

Contact Information

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What is your highest level of education?

What option best describes your current technical discipline?

What option best describes your current professional level?

Are you currently seeking a job?

Are you currently seeking an internship?

How many years of engineering experience do you have?

What is your current academic status?

What university is your most recent degree affiliated with?

What is your gender identity?

Do you identify as a member of the LGBTQ+ (Lesbian, Gay, Bisexual, Transgender or Questioning) community?

What racial or cultural group do you belong to?

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Do you consider yourself to have a disability (physical, mental or medical condition)?

What are your pronouns?

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