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What sector do you work in? Non-profit/NGO Government Private Sector/Corporate Education/Academia Healthcare Media/Communication Student Others

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Are you in a leadership position? : Yes No Others

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How did you hear about this conference? : Social Media Email Invitation Colleague Website Partner Organization Others

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What is your primary reason for attending? (check all that applies):

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How will you be attending?

Your Address:

State: Abia Adamawa Akwa Ibom Anambra Bauchi Bayelsa Benue Borno Cross River Delta Ebonyi Edo Ekiti Enugu Federal Capital Territory (Abuja) Gombe Imo Jigawa Kaduna Kano Katsina Kebbi Kogi Kwara Lagos Nasarawa Niger Ogun Ondo Osun Oyo Plateau Rivers Sokoto Taraba Yobe Zamfara

Are you interested in participating as? : --------- Participant Volunteer Sponsor representative

How would you like to volunteer? --------- Ushering Media coverage Rapporteur Security Audio and Visual Tech Other

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Do you require any accessibility accommodations? :

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Age range: 18–25 26–35 36–45 46–55+

Gender: Male Female Prefer not to say

Is there anything specific you'd like to see covered in the conference? :

Additional Comments or Questions :

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