Confluence Registration Confluence Award Registration Form 2023 Name * Name First First Last Last Email * Are you able to attend the event on Friday, April 28? * Yes No Please indicate how you would like your name to appear on your nametag * Do you plan to attend the full conference (1pm – 6pm), or award ceremony only (3-6pm)? * I’ll be there for the full conference (1-6pm) I’ll be there for the award ceremony only (3-6pm) Please indicate your FIRST choice for the breakout sessions. * Option 1: In St. Louis, for St. Louis, with St. Louis Option 2: Investing with impact in St. Louis through Community-Engaged Research Option 3: Building and Positioning Impactful Communal Relationships Option 4: Achieving Equity and Expanding Economic Advancement Through Teaching Please indicate your SECOND choice for the breakout sessions. * Option 1: In St. Louis, for St. Louis, with St. Louis Option 2: Investing with impact in St. Louis through Community-Engaged Research Option 3: Building and Positioning Impactful Communal Relationships Option 4: Achieving Equity and Expanding Economic Advancement Through Teaching Please indicate your THIRD choice for the breakout sessions. * Option 1: In St. Louis, for St. Louis, with St. Louis Option 2: Investing with impact in St. Louis through Community-Engaged Research Option 3: Building and Positioning Impactful Communal Relationships Option 4: Achieving Equity and Expanding Economic Advancement Through Teaching If you are human, leave this field blank. This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Submit Start Over Δ