Board for International Food and Agricultural Development Event Registration Form

Participant Feedback for the Board for International Food and Agricultural Development (BIFAD)

2. Event Registration Template_BIFAD Support Contract (2021.08.06)

Board for International Food and Agricultural Development Event Registration Form

OMB: 0412-0623

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Link to sample online version: https://webinar-portal.net/webinars/tt/registration_210707.php

Event Registration Template
Thank you for your interest in attending the Board for International Food and Agriculture Development
(BIFAD)-sponsored [Name of Event] on [Date and Time]. This event will be held [virtually, in person, or
mixed virtual and in person]. Please RSVP to the event by providing the information below. An email
confirmation will be sent to you after submission.
Fields with (*) denotes a required field.
1.
2.
3.
4.
5.

First or Given Name*
Family or Last Name*
Professional or Work Email*
Organization Name
Organization Type (select most relevant response below)*
a. U.S. university
b. University outside of the U.S.
c. U.S. Agency for International Development
d. Other U.S. Government
e. Non-U.S. Donor Organization
f. Non Profit Organization
g. Firm
h. Publicly Traded Organization
i. Other

[Add branching- Responses of 5A go to Q6, all other responses on Q5 skip to Q7]
6. If U.S. University, is your university identified as any of the following minority serving institutions
(MSI)?
a. Asian American and Pacific Islander Serving Institutions (AAPISI)
b. Hispanic-Serving Institutions (HSI)
c. Historically Black Colleges and Universities (HBCU)
d. Tribal Colleges and Universities (TCU)
e. No
f. I do not know

7. Country – [Add list of all current countries according to U.N]
BIFAD is committed to increasing diversity, equity, and inclusion in the board's engagement and in
global development at-large. This effort can be enhanced with reliable information about our
stakeholders (optional).
8. Age Group*
a. Prefer not to answer
b. 29 years or younger
c. 30 years or older
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Link to sample online version: https://webinar-portal.net/webinars/tt/registration_210707.php

9. Sex (Please use last option to self-describe if you prefer)*
a. Prefer not to answer
b. Female
c. Male
d. Intersex
d. Other [allow for short answer response]
10. Gender (Please self-describe if you prefer)
a. Prefer not to answer
b. Woman
c. Man
d. Non-binary
e. Other [allow for short answer response]
11. Racial and Ethnic Identities (please select all identities with which you identify)*
a. Prefer not to answer
b. Asian
c. Black or African American
d. Hispanic, Latino, or of Spanish Origin
e. Native Hawaiian or Other Pacific Islander
f. North African or Middle Eastern
e. White
f. Other [allow for short answer response]
12. Are you interested in receiving updates on upcoming BIFAD events and the latest BIFADsupported reports and resources?
a. By selecting "YES" below, you are opting in to receive email communication from BIFAD
or the BIFAD Secretariat. You may opt out of future communications by contacting
[email protected] from your subscribed email, noting "unsubscribe" or "optout". Your information will not be shared outside of this purpose. Thank you for signing
up to receive occasional updates and opportunities to connect with BIFAD. Please direct
any questions about this form to: [email protected].
i. Yes
ii. No

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File Typeapplication/pdf
AuthorChan, Carol
File Modified2021-08-06
File Created2021-08-06

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