YCCExpo Registration Form

YCCExpo Registration
Please, tell us who you are?*
Student

Complete your student registration for your YCCExpo attendance
Grade*
Other
How do you plan to attend YCCExpo25
Name*

First NameLast Name
Email*
example@example.com
Zip Code*
County*
School Name*
Do you attend a:*
Gender*
Other
Which best describes your college and career readiness journey?*
Will you participate in a mock interview?*
Have you researched or applied to any colleges or universities?*
Are you considering or planning to go to college/university locally or out of the area?*
Favorite Subject*
Are you a participant of:*

Girls IncBoyz II MenGEAR UPNoneOther
How did you hear about this event?*
Other
Demographics
Ethnicity

HispanicNon-Hispanic
Race

Alaska NativeAmerican IndianAsianBlack/African-AmericanHawaiian NativeOther Multi-RacialOther Pacific IslanderWhite
Other Multi-Racial
Who's your primary guardian

MotherFatherGrandmotherGrandfatherOther
Do you require special accommodations?
Disclaimer:*

I understand that I will be disqualified from earning any prizes for spamming, bad language and inappropriate behavior.
Expectations:
1. Prepare questions to ask exhibitor, sponsors and keynote presenter
2. Identify the goals to achieve at YCCExpo 2026 and seek to achieve them while attending
3. Dress appropriately. Your next or first employer may be awaiting you
4. Create a contact card - physically or digitally
5. Maximize connections and research the exhibitors, sponsors, and colleges that will be present
6. Engage in professional conversations
7. Participate in the mock interview session
8. Complete the post-event survey
9. Find at least one new thing and share with your family, friends, and educators
Parent
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Home Zip Code*
County*
Other County
Your student's school name*
Does your student attend a:*
Your student's sex/gender*
Your student's grade level*
Other
Which best describes your student's college and career readiness journey?*
Is your student participating in a mock interview?*
Your student's plans after high school (Select all that apply.)*

Technical Career SchoolCollege/UniversityMilitaryJobEntrepreneurshipUndecidedOther
Has your student researched or applied to any colleges or universities?*
Does your student plan to go to school locally or out of the area?*
Your student's favorite subject*
Is your student a participant of:*
Other
How did you hear about this event?*
Other
Are you interested in learning about Let's Grow STEAMx offerings?*
Your 'Yes' response will allow us to communicate directly with you about upcoming offerings. Please check out our website at www.letsgrowsteam.org.
Are you interested in volunteering with Let's Grow STEAMx?*
Your 'Yes' response will allow us to communicate directly with you about upcoming opportunities. Please check out our website at www.letsgrowsteam.org.
Demographics
Household Income*
Ethnicity*
Race*
Other Multi-Racial
Female Head of Household*
Do you require special accommodations?
Disclaimer:*

By checking this box, I am aware photographs and videos will be taken and used for marketing including the use of social media for this program. I give authorization for my student and/or myself to be photographed or videoed.
Disclaimer:*

I understand that my student will be disqualified from earning any prizes for spamming, bad language and inappropriate behavior.
Any questions regarding registration, please call 706.577.3409 or 706.464.3035
Liability Release*

In consideration of being allowed to attend/participate, I hereby release and hold harmless Let’s Grow STEAMx and its affiliates, their officers, directors, employees, agents, volunteers, sponsors, and partners from any and all claims, liabilities, damages, or expenses arising out of or related to my attendance/participation at the Event, including personal injury, illness, or loss of property.
Expectations:
1. Ask questions
2. Find resources to support your future leaders learning
3. Engage with the exhibitors, sponsors, and colleges
4. Learn something new and share with your future leader
5. Enjoy the event and complete the post event survey
Teacher
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Home Zip Code*
County*
School Name*
Employer Type*
Gender*
Other
What grade level(s) do you teach?*

456789101112Other
Will you participate as a mock interviewer?*
Your favorite subject:*
How did you hear about this event?*
Other
Have you worked in another profession?*
Which profession?*
How long ago?*
How many years of service in prior profession?*
How many years in current profession?*
Are you interested in learning about Let's Grow STEAMx offerings?*
Your 'Yes' response will allow us to communicate directly with you about upcoming offerings. Please check out our website at www.letsgrowsteam.org.
Are you interested in volunteering with Let's Grow STEAMx?*
Your 'Yes' response will allow us to communicate directly with you about upcoming opportunities. Please check out our website at www.letsgrowsteam.org.
Demographics
Household Income*
Ethnicity*
Race*
Other Multi-Racial
Female Head of Household*
Do you require special accommodations?*
Disclaimer:*

By checking this box, I am aware photographs and videos will be taken and used for marketing including the use of social media for this program. I have proper authorization for each student attending to be photographed or videoed.
Disclaimer:*

I understand that my student will be disqualified from earning any prizes for spamming, bad language and inappropriate behavior.
Any questions regarding registration, please call 706.577.3409 or 706.464.3035
Liability Release*

In consideration of being allowed to attend/participate, I hereby release and hold harmless Let’s Grow STEAMx and its affiliates, their officers, directors, employees, agents, volunteers, sponsors, and partners from any and all claims, liabilities, damages, or expenses arising out of or related to my attendance/participation at the Event, including personal injury, illness, or loss of property.
Expectations:
1. Ensure future leaders are actively monitored
2. Address behavior issues immediately and discreetly
3. Emergency exits and procedures can be obtained at the Info Booth
4. Encourage future leaders to push past their comfort zone and communicate professionally with exhibitors, sponsors, and colleges
5. Circulate and collect resources
6. Use topics, activities, and interactions as a class engagement activity
7. Enjoy the event and complete the post event survey
Exhibitor/Sponsor
Company or Organization*
Representative Name*

First NameLast Name
Representative Phone*
Please enter a valid phone number.
Company Phone*
Please enter a valid phone number.
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Company URL*
Does your organization offer youth career development opportunities?*
If so, please tell us about it!*
Will your organization provide team members to conduct mock interviews?*
If yes, please provide point of contact (POC) for team member volunteers:*
Will your organization provide swag for youth attendees?*
Please provide point of contact (POC) information pertaining to providing swag for youth attendees*
Will your organization host “live” engagement from your company booth?*
If so, tell us about it. Please provide a brief description:*
When will your live engagement be presented?*

Feb. 13Feb. 14Feb. 15
At what time?*
Sponsorship Level:*

Silver $3,500Gold $5,000Platinum $10,000Diamond $15,000
Exhibitor Level:*

Builder $1,250Cultivator $1,500Ambassador $1,750
Administrator
Salutation*
Other
Name*

First NameLast Name
Title*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Home Zip Code*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work County*
Organization Name*
Employer Type*
Will you participate as a mock interviewer?*
Will your school group be attending the YCCExpo this year?*
What motivated you to register and what outcomes do you hope to gain?*
Are there specific topics, industries, or presenters you are interested in exposing your students?*
How did you hear about this event?*
Other
Are you interested in learning about Let's Grow STEAMx offerings?*
Your 'Yes' response will allow us to communicate directly with you about upcoming offerings. Please check out our website at www.letsgrowsteam.org.
Are you interested in volunteering with Let's Grow STEAMx?*
Your 'Yes' response will allow us to communicate directly with you about upcoming opportunities. Please check out our website at www.letsgrowsteam.org.
Disclaimer:*

By checking this box, I am aware photographs and videos will be taken and used for marketing including the use of social media for this program. I grant Let's Grow STEAMx, Inc and it's partners permission to photograph and record my school group for use in media publications and reports.
Liability Release*

In consideration of being allowed to attend/participate, I hereby release and hold harmless Let’s Grow STEAMx and its affiliates, their officers, directors, employees, agents, volunteers, sponsors, and partners from any and all claims, liabilities, damages, or expenses arising out of or related to my attendance/participation at the Event, including personal injury, illness, or loss of property.
Expectation:
1. Understand that enough chaperones are provided
2. Ensure safety and appropriate behavior is present
3. Help future leaders connect their interest to opportunities
4. Facilitate conversations between professionals and future leaders
5. Network, gather information, and enjoy learning and seeking opportunities for your school community
6. Share your experience with our post-event survey
Guest
Salutation*
Other
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Home Zip Code*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Current Employer*
Share your profession, skills, and talents*
What motivated you to register and what outcomes do you hope to gain?*
Will you participate as a mock interviewer?*
How did you hear about this event?*
Other
Are you interested in learning about Let's Grow STEAMx offerings?*
Your 'Yes' response will allow us to communicate directly with you about upcoming offerings. Please check out our website at www.letsgrowsteam.org.
Are you interested in volunteering with Let's Grow STEAMx?*
Your 'Yes' response will allow us to communicate directly with you about upcoming opportunities. Please check out our website at www.letsgrowsteam.org.
Disclaimer:*

By checking this box, I am aware photographs and videos will be taken and used for marketing including the use of social media for this program. I grant Let's Grow STEAMx, Inc and it's partners permission to photograph and record me for use in media publications and reports.
Liability Release:*

In consideration of being allowed to attend/participate, I hereby release and hold harmless Let’s Grow STEAMx and its affiliates, their officers, directors, employees, agents, volunteers, sponsors, and partners from any and all claims, liabilities, damages, or expenses arising out of or related to my attendance/participation at the Event, including personal injury, illness, or loss of property.
Expectations:
1. Check-in at the Info Booth upon arrival to event
2. This event is hosting minors, please behave accordingly.
3. Keep personal belongings with you at all times; organizers will not be responsible for lost belongings
4. Enjoy the event and complete your post event survey
5. Emergency exits and procedures can be obtained at the Info Booth
6. No outside food or drinks
7. Please honor all scheduled times for workshops and departures
8. Share your experience with our post-event survey
Should be Empty:

YCCExpo Registration

Student

Demographics

Parent

Demographics

Any questions regarding registration, please call 706.577.3409 or 706.464.3035

Teacher

Demographics

Any questions regarding registration, please call 706.577.3409 or 706.464.3035

Exhibitor/Sponsor

Administrator

Guest