Bilingualism Forum 2024 / New Form

First Name*

Last Name*

Email*

Are you affiliated with UIC or UIUC?*

UIC

UIUC

Not Affiliated with UIC or UIUC

What is your home institution? (If you prefer not to answer, enter, “I prefer not to answer.”)

Based on the following categories, where would you place yourself based on your primary position at UIC ?

Undergraduate Student

Graduate Student

Postdoc

Faculty

Staff

Administrator

Other

I prefer not to answer

Based on the following categories, where would you place yourself based on your primary position at UIUC?

Undergraduate Student

Graduate Student

Postdoc

Faculty

Staff

Administrator

Other

I prefer not to answer

Based on the following categories, where would you place yourself based on your primary position with your home institution?

Undergraduate Student

Graduate Student

Postdoc

Faculty

Staff

Administrator

Other

I prefer not to answer

Will you be joining us for dinner on Thursday, October 24? Dinner will be an additional $40 cost and is limited to the first 45 registrants.*

Yes

No

The following are demographic questions to help us learn more about the attendees of the UIC Bilingualism Forum 2024. This information will solely be used by the UIC Bilingualism Forum Organizing Committee to assess for ourselves on inclusion, access, and diversity. Your responses will be kept private and secure. This information will not be used for discriminatory purposes. If you wish to change any of the given responses, you may do so by reaching out to us at uicbilforum@gmail.com.

Gender

Based on the following categories, with which gender do you identify?*

Race and ethnicity

Which of the following best describe you? Check all that apply*

American Indian, Indigenous American, or Native American

Asian

Black or African American

Hispanic, Latinx, or Spanish

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White or Caucasian

I do not identify with any of these categories

I prefer not to say

Please select

Mexican, Mexican American, Chicanx

Puerto Rican

Cuban

Another Hispanic, Latinx, or Spanish origin

Please list (ex Salvadoran, Dominican, Columbian, Guatemalan, Spaniard, Ecuadorian, etc.)

Please list (ex Lebanese, Iranian, Egyptian, Syrian, Moroccan, Algerian, etc.)

Bilingualism Forum 2024

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Bilingualism Forum 2024

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