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Privacy Note: Unless permission is explicitly granted by you, the information collected in this form is only accessed by Start Proud and is not shared outside the organization. Your information is solely collected to better understand the audience we serve in order to improve future Start Proud events and initiatives. For more information please see our Privacy Policy.

Personal Details

Your Name, Preferred Pronoun, and School will be printed on your name tag.

First Name:*
First Name (shown on your name tag):*
Last Name:*
Preferred Pronoun:*
Gender Identity:*
Other Gender Identity:*
Sexual Orientation:*
Dietary Restrictions:
Current Institution:*
If Other, enter institution:*
Major/Area of Concentration:*
Expected Graduation Year:*

Please help us improve our conference by answering the following questions.

How did you hear about The Conference?*
Name of Student Ambassador that referred you:*
If Other, please specify:*
Have you attended a Start Proud conference in the past?*
Why are you attending?*
What companies/organizaions would you like to see at the conference? If any in particular, please specify*
Resume Upload

If you upload your resume we will share your name, email, current institution, expected graduation date, career objectives and resume with participating companies. Acceptable formats are doc, docx and pdf.

Resume Upload:
Discount Code

If you have a discount code for conference registration, please enter it here.

Discount Code:
Ticket Selection
FLASH SALE — Conference Ticket (40% off)
Conference Ticket
Promo Conference Ticket (30% Off)
Friends and Family Discount Ticket ($10 Off)
Forever Early Bird Ticket
Student Leader Ticket (60% Off) - $10
FREE Ticket
Raffle Winner Conference Ticket (FREE)
Special Ticket (FREE)
Support Rainbow Railroad (Optional) - $10

Start Proud does not store credit card information.
Payments are processed securely by Stripe.

Card number:*
Expiration month:*
Expiration year:*
Zip code:*

By submitting your registration you authorize Start Proud to contact you by email regarding the event.

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