2025 SYMPOSIUM REGISTRATION Infrastructure in the Modern Age Saturday, May 3, 2025 Rainier Club, Seattle, WAIf you have any questions, please reach out to info@scipolnetwork.org. Registrant Information First Name Last Name Email Name on badge (Nickname) Institution/Organization STEM Field (if applicable) Highest Degree Attained: B.S./B.A. M.S. M.P.H. Ph.D. M.D. M.D./Ph.D. Sc.D. D.V.M. Ed.D. PharmD Other Degree (please specify) Not applicable Other degree Registration Selections Am I registering for someone else?I am registering for someone else. Select your registration type below. Please be sure to review the entire list before making your selection.$225 General Student$425 General Professional $1000 Science Sponsorship (Listing on the NSPN website and in program materials + One (One (1) registration)$1500 Lunch Table Sponsorship (Science Sponsorship + Designated Lunch table with early career participants)$2500 Tech Sponsorship (Listing + Two (2) registrations)$5000 Engineering Sponsorship (Session participation opportunity + Two (2) registrations)$10,000 Mathematics (Support for 10 early career science policy students travel + Two (2) registrations) Additional Sponsorship Attendee Attendee Attendee's Name Attendee email: This sponsorship includes two registrations. Please provide the additional attendee's name, if known. We will send each attendee a separate email to complete their registration. If needed, names can be provided later or changed by emailing info@scipolnetwork.org. Additional Attendee Full Name: Additional Attendee email: Logo Material Please provide your organizations preferred listing on material: Please provide your organizations preferred logo to add to the website: Additional Networking Reception & Dinner Post Symposium$125 Dinner Additional Questions How many times have you attended an in-person NSPN Symposium? (New York/Rockefeller, Madison, Riverside)Please select... This will be my first time attending (0) 1 2 3 How did you hear about the NSPN symposium?Internet ResearchEmailSchool Event/ConferenceWord of Mouth (i.e. Program Director, colleague, NSPN staff, NSPN participant)Part of formalized programSocial MediaOther (Please Specify) Are you a participant an NSPN program (ex. SciPol, SciDip, SciWriting, Leaders)?YesNo Which NSPN program? Do you have a discount code? Demographics As part of NSPN’s ongoing commitment to advancing diversity, equity, and inclusion, we are collecting and analyzing demographic data on our community members. The Assessment of Inclusivity and Multiculturalism (AIM) is crucial for gauging and improving our community's inclusiveness. This information will help NSPN analyze and inform our programs, ensuring we live up to our commitments. How would you describe your home institution?Historically Black College or University (HBCU)Hispanic Serving Institution (HSI)Tribal CollegeLand-Grant InstitutionOther institution of higher learningNot applicable, I am not from an institution of higher learning. Other institution What is your gender identity? Woman Man Prefer to Self Describe Do not wish to disclose What is your race/ethnicity? American Indian or Alaska Native Asian Black or African American Hispanic, Latino or Spanish origin Native Hawaiian or Other Pacific Islander Some Other Race (Please Specify) White Prefer not to disclose Would you like to share any other personal characteristics such as military status, caretaking responsibilities, or sexual orientation)? 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Please consider making a gift in addition to your registration fee. Contributions will enable us to offer engaging panels and activities, but most importantly reduced rates for our more recent science & technology policy professionals. $ Valid gift amount Payment Registration Fees: $ Additional Gift: $ Total Payment Amount: $ Skip Stripe (Total Payment = 0) Reg+Dinner total Validation of Total Consent I am over 18 and I have read and agree to NSPN's Privacy Policy.I agree I understand that by selecting 'Register,' I authorize my credit card to be charged the full amount for this registration. reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA.
