2022 oSTEM Region F Conference: Choose Your Quest
Greetings adventurers! You may have arrived at this registration form in the hopes of receiving a prophecy that guides you to your next destination. Alas, we will not be able to provide that, but we can offer the next best thing: a ticket to the 2022 oSTEM Region F Conference: Choose Your Quest. Answer the call, meet your fellow adventurers, and find the treasure at the end of your path!
Personal Information
By filling out this form, you agree to share the personal information contained in this section with the conference planning team and with our sponsors. All information in this and following sections will be only used for the conference, and deleted afterwards. Please refer to the Use of Your Data section on the conference homepage for more information.
First Name
*
Please use your preferred name here.
Last Name
*
Pronouns
*
he/him
she/her
they/them
xe/xir
ze/zir
Prefer not to say
Other
Email address
*
Phone Number
*
Country
*
State/Province
*
T-shirt size
*
Please Select
XS
S
M
L
XL
XXL
XXXL
For your free conference T-shirt!
Do you have any dietary restrictions?
*
Vegan
Vegetarian
Nut allergy
Soy allergy
Gluten-free
No restrictions
Other
Are you fully vaccinated against COVID-19, or will you be able to receive a full vaccination two weeks before March 26, 2022?
*
Please Select
Yes
No
Our host school, the University of Southern California, requires that all external visitors to campus enroll in their Trojan Check system. In order to pass Trojan Check, a visitor needs either proof of full vaccination or a negative test dated three days prior to date of entry. If you answer "No" on this question, it is your responsibility to obtain a negative test before attending the conference.
Back
Next
Demographic Information
By filling out this form, you agree to share the demographic information contained in this section with the conference planning team. Demographic information will never be tied to your personal information, and it will not be shared with our sponsors. Demographic information is not required, and it will mostly be used to plan programming for the next conference.
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender Identity
Agender
Genderfluid
Gender Non-conforming
Genderqueer
Man
Non-binary
Questioning
Woman
Prefer not to say
Other
Do you identify as transgender?
Please Select
Yes
No
Prefer not to say
Do you identify as intersex?
Please Select
Yes
No
Prefer not to say
Sexual Orientation
Asexual
Bisexual
Gay
Lesbian
Pansexual
Queer
Questioning
Straight
Prefer not to say
Other
Racial/Ethnic Identity
Arab/Middle Eastern
Asian/Pacific Islander
Black/African
Chican@/Latina/o/e
Native American/Alaska Native/Aboriginal
White/European
Prefer not to say
Other
Do you identify as having a disability?
Please Select
Yes
No
Prefer not to say
Back
Next
Career & Academic Information
By filling out this form, you agree to share the personal information contained in this section with the conference planning team and with our sponsors. Sponsors may use this information when considering job offers.
What is your STEM Area?
*
Science
Technology
Engineering
Mathematics
Other
Are you currently a student?
*
Please Select
Yes
No
School
*
University of Southern California
UC San Diego
Cal Poly Pomona
U of Oregon
UC Santa Barbara
Oregon State
UCLA
University of Nevada, Reno
UC Berkeley
Northern Arizona University
University of Washington
UC Davis
University of Arizona
Stanford University
Other
Major
*
Employer
*
If currently unemployed, please enter N/A
Field of Work
*
Please put what best describes your specific field.
Current or Last Completed Degree
*
Please Select
High school or GED
Professional Certificate
Associate's
Bachelor's
Master's
Doctorate
Postdoctoral Appointment
Professional Degree
Year in School
*
Please Select
First-year undergraduate
Second-year undergraduate
Third-year undergraduate
Fourth-year undergraduate
Fifth-year undergraduate
First-year graduate
Second-year graduate
PhD
Other
Graduation Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
GPA
Please convert your GPA to a 4.0 scale.
What kinds of jobs are you interested in?
*
Internships
Full-time Entry Level
Full-time Experienced
Graduate school
Post-doctorate academic appointments
Not looking for a job/school
Other
Please upload your resume here.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Consent to Photography & COVID-19 Waiver
USC QuEST and its affiliates will be taking photography and video at events at this conference. There will also be one event, the DnD charity event, which will be livestreamed on the internet. If you wish to not be included in any visual media created by QuEST and oSTEM, you will have the opportunity to take a special lanyard at check-in that signals to our media teams that you would wish to not be included in any published media. If you select No below, we ask that you wear the lanyard whenever possible.
Do you consent to your image used in photography by USC QuEST and oSTEM?
*
Yes
No
Back
Next
Payment
Currently, we are only accepting payment through Paypal. Please email us at quest@usc.edu if this is a concern. If you are experiencing significant financial hardship and are unable to pay the conference fee, please also contact us at quest@usc.edu and we may be able to assist you.
Are you a current USC Student?
*
Please Select
Yes
No
Due to USC funding regulations, all USC students' registration fees have already been covered by USC QuEST. Please select USC Student Ticket below if you are a current USC student.
If you are a USC student, please enter your student ID below:
[USC STUDENTS ONLY] Are you a student in the Viterbi School of Engineering?
Please Select
Yes
No
My Products
prev
next
( X )
Ticket - 2022 oSTEM Region F Conference: Choose Your Quest
$25.00
$
25.00
USC Student Ticket - 2022 oSTEM Region F Conference: Choose Your Quest
Free
$
Free
loading smart payment buttons...
The payment is ready! It will be completed once you submit the form.
Submit
Should be Empty: