NC Young Professionals Summit 2026 Registration Form
First Name
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Last Name
*
Email
*
Phone
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Age
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Select
17-20
20 - 23
24 - 27
28+
Gender
*
Male
Female
Emergency Contact (Name, Phone Number)
*
Which best describes your current stage or status?
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Select
High School Senior (17+)
College Student (Undergraduate)
Graduate Student
Recent Graduate (Job Searching)
Young Professional (Working Full/Part-Time)
Aspiring Entrepreneur
Career Transition or Exploring Options
For lunch, please select your preference (Note - Breakfast menu has been set for all)
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Non-Vegetarian Meal
Vegetarian Meal
Do you have any food allergies or dietary restrictions we should be aware of?
*
Breakout Sessions
You will be attending TWO breakout sessions total; Rank the breakout Rooms by preference, 1 being most preferred, 5 being your least. Please note that breakout sessions are first come first served and that you may not get your first preference
The Healthcare Blueprint
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Select
1
2
3
4
5
Command the Room
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Select
1
2
3
4
5
Fireside Chat with {Blank}
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Select
1
2
3
4
5
The Muslim Founder
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Select
1
2
3
4
5
Ethics of AI
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Select
1
2
3
4
5
Select the university your MSA is associated with
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Select your university
NC State
UNC - Chapel Hill
UNC - Greensboro
UNC - Charlotte
Duke University
Meredith College
Wake Tech
Shaw University
East Carolina University
NC Central University
Campbell University
Other
Not Applicable
What ticket are you purchasing?
Early Bird
General Admission
Alumni
Premium
Would you like to donate to AMYC?
By donating we can continue to provide events like this in the future!
Yes, I'll donate
No, I'm good
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Total Cost
Credit / Debit Card
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