Additional information
How would you describe yourself?
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Other
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Per Americans with Disabilities Act (ADA) please indicate if you require an accommodation in order to fully participate in this event. Request for captioning is required five business days prior to event Sign language interpreter
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Do you have any additional needs we should know about to help you participate to your fullest?
if no, leave blank
Any protected health information (PHI) provided with this registration will be safeguarded by the University of Oregon from unauthorized disclosure. With this registration, the University of Oregon is authorized to use this PHI for your special needs or emergency situations during this event only . Your PHI will be discarded from our records at the end of this event. If you wish to file a complaint of privacy violations, please contact info@uoregon.College or file the complaint directly with the U. S. Secretary of Health and Human Services at http://www.cms.hhs.gov .
Required I Agree
The University of Oregon values your privacy. We recognize that you may be concerned about how we will treat the information you share while registering for an event on our website.
The University of Oregon does not sell the contact information of event attendees. Visitors to our website are not permitted to sell, harvest, or generate mailing lists from the event attendee list, nor should they use it for promotional purposes.
Also, as a benefit of sponsoring our events, sponsors receive an event attendee list including attendee names, titles, institutions, postal addresses, phone and fax numbers, as applicable. We closely coordinate with sponsors so that attendees receive information of value about the sponsor, and not just sales materials.
Occasionally, third party collaborators request event attendee lists for purposes of developing surveys, identifying community needs, or collecting data that will be used in projects that will benefit the community. Upon request, we will share with these third parties an event attendee list including attendee names, titles, institutions, postal addresses, phone and fax numbers, as applicable.
If you would like to opt out of any of these lists, please select the appropriate option(s) below:
By checking this box you are requesting that your information be excluded from the event attendee list provided to event sponsors.
By checking this box you are requesting that your information be excluded from the event attendee list provided to third party collaborator(s) co-hosting the event with the University of Oregon.
Event Code of Conduct
The University of Oregon is committed to providing a harassment-free environment at its events for all attendees. Our community values fair and equitable treatment of all individuals and expects attendees to interact professionally and respectfully with one another. Discrimination or harassment of any type, regardless of age, gender, sexual orientation, disability, physical appearance, race, or religion, is not consistent with the University of Oregon's values and will not be tolerated. Examples of unacceptable behavior include offensive comments; deliberate intimidation, stalking, or unwanted attention; inappropriate physical contact; harassing, derogatory, or demeaning conduct; or other behavior that demonstrates a lack of professionalism or respect for another individual.
Participants are expected to follow this policy at all events hosted by the Information Security Office. Participants violating this code may be asked to leave an event without warning or a refund, at our discretion. In some instances, such behavior may be reported to law enforcement officers. In addition, the Information Security Office reserves the right to prohibit individuals who violate this policy from attending future events hosted by us, as well as alerting the individual’s employer. If you believe that you or someone else has been subject to these behaviors, please contact the University of Oregon Ethics Hotline immediately at (855) 388-2710 or send a message via the web at https://reportaconcern.uoregon.edu .
Participant Consent
As part of this event, participants in this conference may be video taped, audio taped, or otherwise recorded, and this footage may be edited, streamed, archived, broadcast, and otherwise retained by the University of Oregon or made available to the public. By participating in this conference, Participant consents to the University of Oregon performing these actions and agrees to hold harmless the University of Oregon and its affiliates, members, trustees, agents, officers, contractors, volunteers and employees against any and all legal claims arising out of, by reason of, or caused by the performance of these actions or other use or distribution of any footage.
Code Of Conduct Participant Consent RadioRequired By checking this box you are agreeing with the Events Code of Conduct and Participant Consent.