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\begin{center}
\begin{Large}
Registration for Undergraduate Attendees Who Did {\em Not} Register with APS
\end{Large}
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Please send answers to the following questions in an e-mail to
cuwip@physics.ucdavis.edu. You can include answers directly in the e-mail,
or start with a Word or LaTeX template and attach a file.

\begin{description}
\item[1.] Please list/explain any dietary restrictions.
\item[2.] Please list the name of a faculty contact at your university.
\item[3.] Please list your gender.
\item[4.] What are your preferred pronouns? (e.g. She/Her/Hers)
Should we include your pronouns on your name badge?
\item[5.] How do you plan to travel to Davis? (Air, train, driving, getting
a ride, other)
\begin{description}
\item[a)] Will you need reimbursement from us for your travel costs? Note you must first ask your department to cover your expenses.
\item[b)] Are you interested in carpooling to CUWiP?
\item[c)] If you are driving, do you have room for extra passengers?
\end{description}
\item[6.] Will you need a hotel room?
\begin{description}
\item[a)] Are there specific attendees you would like to share a room with?
Please list their names.
\item[b)] Would you prefer sharing a queen-sized bed, or having a sofabed to yourself?
\item[c)] What is your gender identity?
\item[d)] What gender(s) do you prefer to room with?
\item[e)] We will do our best to accommodate your rooming preferences, but we may not be able to satisfy everyone's. If you have any other needs or concerns with regard to hotel room accommodation please briefly state them here.
\end{description}
\item[7.] Do you plan to attend one or more of the optional lab tours on Friday?
Some have limited availability, so please rank your top three choices among:\\
A - McClellan Nuclear Reactor\\
B - Crocker Cyclotron\\
C - 3D Visualization Facility\\
D - Keck Telescope Remote Observing Facility\\
E - Campus Observatory (weather permitting)\\
F - Other Campus Research Laboratories
\item[8.] Parallel events during our four breakout sessions will cover a
variety of topics. Please note the four you are most interested in. (This
does not commit you to attending those four.)\\
A - Undergraduate research: opportunities available, how and when to apply\\
B - Transfering to a four-year college\\
C - Applying to grad school\\
D - Life in grad school\\
E - Interdisciplinary connections\\
F - Teaching careers panel\\
G - Non-academic careers panel\\
H - Careers with a physics Bachelor's or Master's degree\\
I - How to write a CV or resume\\
J - CV/resume review\\
K - LGBTQ meet and greet\\
L - Underrepresented groups in physics\\
M - Mental health: imposter syndrome; resources\\
N - Bystander training\\
O - Direct action to increase women in physics
\item[9.] We will hold a poster session during the event. All attendees are welcome to present either a finished project or work in progress. Would you like to present a poster? (Yes/No/Not yet sure)
\item[10.] Do you need any additional accommodations to attend this event? If yes, please describe them. These could include child care, accessibility, or other aspects.
\item[11.] Do you give permission to the local organizing committee to print your name, institution and email address for distribution to other CUWiP participants? We hope this information will encourage post-conference discussions.
\item[12.] Would you be interested in buying a conference T-shirt for \$5? This is not binding; we just want an idea of how many to order.
Please give your T-shirt size: XS, S, M, L, XL, XXL.
\item[13.] Is there anything else you think we should be aware of?
\item[14.] What is the highest level of education for your parents/guardians?\\
A - Less than high school diploma\\
B - High school diploma or the equivalent (for example: GED)\\
C - Some college/Associates degree\\
D - Bachelor's degree\\
E - Master's degree or higher\\
F - Not applicable
\end{description}

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