Surge Fellowship and Academy Recruitment Event Registration

Event Information

Program

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Please select... Chicago Detroit

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 Select the Detroit event you'd like to attend:

Surge Affiliation

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Prospective ApplicantSurge Fellow / AlumniSurge StaffSurge Community PartnerSurge SpeakerSurge Executive CoachSurge FunderOther

Your Information

First Name

Last Name

Pronouns

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Primary Email

Mobile Phone

(###)-###-####

Detroit Event Summary

Ignite and Inspire Event

Men of the Movement Event

#LeadTheSurge Event

Latine Event

Event Description (Read-only)

Chicago Event Summary

Ignite and Inspire Event

Transform Con Comunidad Event

Kennedy King College: Surge Informational

Chicago Public Schools: Surge Informational

Chicago Description (Read-only)

Event RSVP Details

Organization/District:

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How did you hear about this event?

Please select... Social Media Surge Email Surge Fellow/ Alum / Staff Other

If you selected Other, please share how you heard about this event

If a Surge Fellow/Alum referred you, please share their name.