First name

First name

Last name

Last name

Preferred Name on Badge

Preferred Name on Badge

Email

Email

Confirm email

Confirm email

Mobile phone

Mobile phone

Do you require a Visa letter?

Do you require a Visa letter? YES
NO

Company / Institution

Company / Institution

Are you a student?

Are you a student? YES
NO

Choose an option

Choose an option FIU Faculty
All other participants

Indicate what degree you are pursuing

Indicate what degree you are pursuing

A photo or scan (jpg/png/pdf) of your Student ID must be uploaded

University/College

University/College Florida International University
Other University

Name of university

Name of university

Choose the day you will attend.

Choose the day you will attend. September 3
September 4
September 5

Profession

Profession

Dietary Restrictions

Dietary Restrictions

How did you hear about us?

How did you hear about us? Email
Social media
Word of mouth
Special invitation
Other