RISE Conference Registration Survey

RISE 2024 Conference
Empowerment Session and Information Form

Registrant Information

After submitting this Empowerment Session and Information Form your registration for, The Power Of Our Voices and The Telling of Our Stories National Conference hosted by The RISE Together Mentorship Network will be complete.

Name(Required)

First Last

Email(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If you have any food allergies or special dietary needs, please write them here:

What is your current connection to RISE?(Required)

Select the option that best describes you currently

What is your Cohort Region?(Required)

Please specify(Required)

Are you interested in serving as a Conference Volunteer?(Required)

Emergency Contact Information

Emergency contact name(Required)

First Last

What is the registrants relationship with the emergency contact?(Required)

Emergency contact phone number(Required)

Emergency contact email(Required)

Would you like to add a second emergency contact?(Required)

Emergency contact #2 name(Required)

First Last

What is the registrants relationship with the emergency contact #2?(Required)

Emergency contact #2 phone number(Required)

Emergency contact #2 email(Required)

Empowerment Sessions Selection

You will receive your conference schedule prior to March 2024.

Please select your FIRST CHOICE Empowerment Session for Friday: 1:45 - 2:30 PM(Required)

Please select your SECOND CHOICE Empowerment Session for Friday: 1:45 - 2:30 PM(Required)

Please select your FIRST CHOICE Empowerment Session for Friday: 2:45 - 3:45 PM(Required)

Please select your SECOND CHOICE Empowerment Session for Friday: 2:45 - 3:45 PM(Required)

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The "Lunch and Learn" Friday Empowerment Session is optional. Please select your FIRST CHOICE. If you wish to skip this session, please select "None."

The "Lunch and Learn" workshops (Friday, 12:30-1:30) are optional with limited available space. If you wish to skip these, please select "None."

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Please select your SECOND CHOICE Empowerment Session for Friday Lunch and Learn

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Please select your SECOND CHOICE Empowerment Session for Friday Lunch and Learn

Our Opening Program “Girlfriends: Just Between US - An Evening With Rev. Dr. Cynthia Hale and Rev. Dr. Gina Stewart” will begin our conference experience. What questions/areas would you like Cynthia Hale and Gina Stewart to discuss?

Social Media: We Want to Hear From You

Briefly describe what "The Power of Our Voices and the Telling of Our Stories: The Women Were There" means to you?(Required)

In one sentence, what would you say to encourage another sister in minstry to boldly tell her story?(Required)

If you would like to be featured on our social media platforms, upload a picture of yourself:

Accepted file types: jpg, jpeg, png, gif.

This field is for validation purposes and should be left unchanged.

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RISE Conference Registration Survey

RISE 2024 Conference
Empowerment Session and Information Form

Registrant Information

Emergency Contact Information

Empowerment Sessions Selection

Social Media: We Want to Hear From You

Union at a Glance

Mission & Vision

Union News

Why Union?

Apply Today

Introduce Yourself

Degree Programs

Course Catalog

Faculty

Life in the Big Apple

Programs & Events

Institutes & Initiatives

Alumni Profiles

Alumni Events

Giving

RISE Conference Registration Survey

RISE 2024 ConferenceEmpowerment Session and Information Form

Registrant Information

Emergency Contact Information

Empowerment Sessions Selection

Social Media: We Want to Hear From You

GET THE LATEST NEWS AND EVENTS IN YOUR INBOX! Register Here

RISE 2024 Conference
Empowerment Session and Information Form