CreateHER Fest Registration Form

What's your name?* This field is required.

Email Address* This field is required.

example@example.com

Confirm Email

What is your age range?* This field is required.

17 (Will require parental consent form)

18–24

25–34

35–44

45–54

55+

Prefer not to say

What is your gender?* This field is required.

Female

Male

Non-binary

Prefer not to say

Other

What are your pronouns? (Optional)* This field is required.

She/Her

He/Him

They/Them

She/They

He/They

Ze/Zir

Prefer not to say

Other

What is your ethnicity?* This field is required.Helps us understand our community diversity

Black or African Descent

White or European Descent

Asian Descent (East, South, Southeast, or Central Asia)

Indigenous or Native Descent

Multiracial

Pacific Islander

Middle Eastern (MENA)

Hispanic/Latinx

Prefer not to say

Other

Where do you currently live? (Country of Residence)* This field is required.

Optional

Which state/territory do you live in?* This field is required.

Which province/territory do you live in?

What time zone are you currently in?* This field is required.

What language(s) do you use to communicate?* This field is required.Note: While our community welcomes global participation, most programming is currently conducted in English.

English

Spanish

French

Haitian Creole

Portuguese

Mandarin

Arabic

Hindi

Other

Do you have any accessibility needs or accommodations?* This field is required.

None

Captions or transcripts for sessions

Visual assistance

Prefer not to say

Other

What is your highest level of education?* This field is required.

High School

Vocational Training or Certificate

Bootcamp

Associate Degree

Bachelor's Degree

Master's Degree

Doctorate

Prefer not to say

Some College/University

Self-taught

Other

What is your employment status?* This field is required.

What is your current employment company, organization, or institution? (Optional)

This helps us tailor networking opportunities.

What is your current job role or title? (Optional)

Examples: Software Engineer, Marketing Manager, UX Designer.

How many years of professional experience do you have?* This field is required.

Student/Just starting

Early career (0-2 years)

Mid-level (3-5 years)

Experienced (6-10 years)

Senior (11+ years)

Leadership/Executive

Other

Professional Online Presence (Optional)

LinkedIn URL

GitHub URL

Portfolio URL

Other relevant links

Which emerging technologies interest you most?* This field is required.Select multiple

Artificial Intelligence/Machine Learning

Blockchain/Web3

Augmented Reality/Virtual Reality

How would you like to engage with our community?* This field is required.

Attend virtual/live events

Participate in online discussions

Connect with mentors

Become a mentor

Collaborate on projects

Present/Share knowledge

Network with other members

Learning new technical skills

Other

Preferred communication channels:* This field is required.Select multiple

Discord

Social Media

How did you hear about CreateHER Fest?:* This field is required.

Twitter/X

Instagram

Threads

Newsletter/Email

From a friend or colleague

Google Women Techmakers

Miami TechWorks

From an organizer

Resilient Coders

Dev3Pack

ICP/Quantum Leap Labs

Out in Tech

A Workshop Facilitator

GDG Miami

XR Women

Warpcast

Other

Privacy Notice: CreateHER Fest is committed to protecting your privacy and complies with global data protection laws, including GDPR, Australia's Privacy Act, and others. The information you provide will be stored securely and used to:

- Facilitate your participation in the event.

- Measure the impact of CreateHER Fest on our community.

Your data may be stored and processed in regions outside your country of residence. By submitting this form, you agree to the collection, storage, and processing of your data as outlined in our Privacy Policy.

Acknowledgments and Consent* This field is required.

I consent to the collection, storage, and processing of my personal data as outlined in the Privacy Policy.

I understand that my data may be stored and processed outside my country of residence in compliance with applicable laws.

I would like to receive communications related to CreateHER Fest & its partners (Deselect to opt-out and recieve no emails or updates from our partners).

CreateHER Fest Registration Form