Fields in bold/red are required.
Participant First Name:
Participant Last Name:
Title/Position
School/Organization Name
Work Location (City, State)
Preferred Email
Are there any special circumstances we should know about (ie food allergies, gluten free, vegetarian or mobility needs, lactation room, ASL interpreter, etc)
You may provide a brief bio here to appear in our virtual conference system (3-5 sentences):
MnCOSE Exhibitors help reduce the cost of the event for attendees, and they may receive attendees emails as a part of the event.	I understand that my email address will be shared with conference exhibitors  I would not like my contact information shared with exhibitors
We have established MnCOSE Norms for this event.	By checking this box, I have read and agree to abide by the MnCOSE norms.  Yes

You'll have an opportunity to upload your photo into our conference system once we connect you!