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What is your first name? *
What is your family/last name? *
What organization are you affiliated with? If no organization, please answer by writing "Not Applicable".
What is your email address? *
What is your mobile phone number? (Please note that this information is optional, and will only be used in case there are technical difficulties, and we need to reach you quickly.)
What country do you live in? * —Please choose an option—AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua & BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaireBosnia & HerzegovinaBotswanaBrazilBritish Indian Ocean TerBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCayman IslandsCentral African RepublicChadChannel IslandsChileChinaChristmas IslandCocos IslandColombiaComorosCongoCook IslandsCosta RicaCote DIvoireCroatiaCubaCuracoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerGabonGambiaGeorgiaGermanyGhanaGibraltarGreat BritainGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuyanaHaitiHawaiiHondurasHong KongHungaryIcelandIndonesiaIndiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalaysiaMalawiMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMidway IslandsMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNambiaNauruNepalNetherland AntilleNetherlandNevisNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslanNorwayOmanPakistanPalau IslandPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPortugalPuerto RicoQatarRepublic of MontenegroRepublic of SerbiaReunionRomaniaRussiaRwandaSt BarthelemySt EustatiusSt HelenaSt Kitts-NevisSt LuciaSt MaartenSt Pierre & MiquelonSt Vincent & GrenadinesSaipanRomaniaRussiaRwandaSt BarthelemySt EustatiusSt HelenaSt Kitts-NevisSt LuciaSt MaartenSt Pierre & MiquelonSt Vincent & GrenadinesSaipaRomaniaRussiaRwandaSt BarthelemySt EustatiusSt HelenaSt Kitts-NevisSt LuciaSt MaartenSt Pierre & MiquelonSt Vincent & GrenadinesSaipanRomaniaRussiaRwandaSt BarthelemySt EustatiusSt HelenaSt Kitts-NevisSt LuciaSt MaartenSt Pierre & MiquelonSt Vincent & GrenadinesSaipanSamoaSamoa AmericanSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTahitiTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IsTuvalUgandaUnited KingdomUkraineUnited Arab ErimatesUnited States of AmericaUraguayUzbekistanVanuatuVatican City StateVenezuelaVietnamVirgin Islands (Brit)Virgin Islands (USA)Wake IslandWallis & Futana IsYemenZaireZambiaZimbabwe
What is your time zone? * —Please choose an option—(GMT-12:00) International Date Line West(GMT-11:00) Coordinated Universal Time-11(GMT-11:00) Samoa(GMT-10:00) Hawaii(GMT-09:30) Marquesas Islands(GMT-09:00) Alaska(GMT-08:00) Baja California(GMT-08:00) Pacific Time (US & Canada)(GMT-07:00) Chihuahua,Mazatlan(GMT-07:00) Arizona(GMT-07:00) Mountain Time (US & Canada)(GMT-06:00) Central Time (US & Canada)(GMT-06:00) Central America(GMT-06:00) Guadalajara,Mexico City, Monterrey(GMT-06:00) Saskatchewan(GMT-05:00) Bogota, Lima, Quito(GMT-05:00) Eastern Time (US & Canada)(GMT-05:00) Indiana (East)(GMT-04:00) Caracas(GMT-04:00) Atlantic Time (Canada)(GMT-04:00) Asuncion(GMT-04:00) Cuiaba(GMT-04:00) Santiago(GMT-04:00) Georgetown, La Paz, Manaus, San Juan(GMT-03:30) Newfoundland(GMT-03:00) Buenos Aires(GMT-03:00) Brasilia(GMT-03:00) Cayenne, Fortaleza(GMT-03:00) Montevideo(GMT-03:00) Greenland(GMT-02:00) Coordinated Universal Time-02(GMT-02:00) Mid-Atlantic(GMT-01:00) Azores(GMT-01:00) Cape Verde Is.(GMT+00:00) Casablanca(GMT+00:00) Monrovia,Reykjavik(GMT+00:00) Greenwich Mean Time : Dublin,Edinburgh,Lisbon, London(GMT+01:00) Sarajevo,Skopje, Warsaw, Zagreb(GMT+01:00) West Central Africa(GMT+01:00) Belgrade,Bratislava, Budapest, Ljubljana, Prague(GMT+01:00) Brussels, Copenhagen,Madrid, Paris(GMT+01:00) Amsterdam,Berlin, Bern, Rome,Stockholm, Vienna(GMT+02:00) Harare, Pretoria(GMT+02:00) Damascus(GMT+02:00) Helsinki, Kyiv, Riga, Sofia, Tallinn, Vilnius(GMT+02:00) Windhoek(GMT+02:00) Minsk(GMT+02:00) Athens,Bucharest, Istanbul(GMT+02:00) Amman(GMT+02:00) Beirut(GMT+02:00) Jerusalem(GMT+02:00) Cairo(GMT+03:00) Kuwait, Riyadh(GMT+03:00) Moscow, St. Petersburg, Volgograd(GMT+03:00) Baghdad(GMT+03:00) Nairobi(GMT+03:30) Tehran(GMT+04:00) Port Louis(GMT+04:00) Tbilisi(GMT+04:00) Baku(GMT+04:00) Yerevan(GMT+04:00) Abu Dhabi, Muscat(GMT+04:30) Kabul(GMT+05:00) Yekaterinburg(GMT+05:00) Islamabad,Karachi(GMT+05:00) Tashkent(GMT+05:30) Chennai, Kolkata, Mumbai,New Delhi(GMT+05:30) Sri Jayawardenepura(GMT+05:45) Kathmandu(GMT+06:00) Dhaka(GMT+06:00) Novosibirsk(GMT+06:00) Astana(GMT+06:30) Yangon (Rangoon)(GMT+07:00) Krasnoyarsk(GMT+07:00) Bangkok, Hanoi,Jakarta(GMT+08:00) Ulaanbaatar(GMT+08:00) Perth(GMT+08:00) Taipei(GMT+08:00) Kuala Lumpur,Singapore(GMT+08:00) Beijing,Chongqing,Hong Kong, Urumqi(GMT+08:00) Irkutsk(GMT+08:30) Pyongyang(GMT+08:30) Eucla(GMT+09:00) Seoul(GMT+09:00) Osaka,Sapporo, Tokyo(GMT+09:00) Yakutsk(GMT+09:30) Darwin(GMT+09:30) Adelaide(GMT+10:00) Hobart(GMT+10:00) Vladivostok(GMT+10:00) Guam, Port Moresby(GMT+10:00) Brisbane(GMT+10:00) Canberra,Melbourne, Sydney(GMT+10:30) Lord Howe Island(GMT+11:00) Magadan, Solomon Is.,New Caledonia(GMT+12:00) Fiji(GMT+12:00) Petropavlovsk-Kamchatsky(GMT+12:00) Auckland, Wellington(GMT+12:00) Coordinated Universal Time+12(GMT+12:45) Chatham Islands(GMT+13:00) Phoenix Islands, Tokelau, Tonga(GMT+14:00) Line Islands
How will you be watching? * LiveOn-demandBoth live and on-demand
What is your affiliation? (Select all that apply). * College/University - Staff or FacultyCollege/University - StudentNon-governmental organization (NGO)Governmental OrganizationMultilateral OrganizationCorporate/Private OrganizationMember of the PressUnaffiliated
Have you attended the UNC Water and Health Conference? * YesNo
How many times have you attended the UNC Water and Health Conference? *1 time2-3 times4 or more times
Why have you not previously attended the UNC Water and Health Conference? (Select all that apply) * I just heard the conference this yearI had conflicts with prior conference datesThe registration price prevented attendanceMy travel Expenses prevented attendanceI was unable to obtain a travel visaOther (please explain)
If this Conference is held in a hybrid format (in-person and virtual) next year, how do you plan to attend? *In-PersonVirtualUndecided
This year, we are not charging a registration fee to make the conference more accessible. Are you interested in receiving information about supporting this year's Conference through a voluntary registration fee or becoming a corporate sponsor? * Yes - Voluntary Registration Fee ($35 - $100 contribution welcome)Yes - Corporate SponsorNo Click here for Voluntary Registration Fee
Do you agree to allow your contact information to be shared with attendees, sponsors and UNC staff? * YesOpt-Out
The following agreements are necessary to complete your registration. Should you disagree with these statements and wish to contact UNC, please close this window and email waterinstitute@unc.edu and we will reach out to you.
To allow remote access to the Conference, all sessions will be recorded. I agree that by participating, I consent to be recorded. I agree
Registrants will receive a web link to the conference. I agree that this is for my use only and is not to be shared. Registration in the event platform will be necessary to access the sessions.* I agree