Virtual Conference Registration First Name
Last Name
Email
Do you plan to attend the Career & Networking Fair? If yes, you will be redirected after completing this form. Gender Please select a value Male Female Non-binary I Prefer Not To Say
Age Ranges Please select a value (18-20) (21-30) (31-40) (41-50) (51-64) (65+) I prefer not to say
Education Please select a value High School Diploma or Equivalent Associate’s Degree Some College Bachelor’s Degree JD Master’s Degree Some Graduate School PhD
Stage of Business Please select Start-Up/Pre-Venture Growth Accelerated
Ethnicity Please select African American Native American Asian/Pacific Islander Caucasian Hispanic Other Prefer Not to Answer
Please choose one Networking Reception Breakout Room below: Which event are you registering for? Please select Virtual Only – July 15, 2025 In-Person Only (Cleveland, OH) – July 16, 2025 Both Virtual (July 15) & In-Person (July 16)
State of Residency Please Select Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Industry Please Select Construction Customer Service Education Engineering Finance and Accounting Government Health care Information Technology Insurance Manufacturing Marketing Non-profit Retail Security Sales Transportation Other Other
Which Groups do you identify with? Please select Veteran African American LGBTQ Disabled Hispanic Woman Asian Other Other
Are you currently employed? Would you prefer to upload your resume or LinkedIn profile? Please select Resume LinkedIn
LinkedIn Profile
Zip Code
Attendee Role (Check all that apply) Have you attended a National Urban League event in the past? How did you hear about this event? Please select a value Radio TV LinkedIn Facebook Instagram Other Other
Attendee Type
Job Title
City
State of Residency Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Country
Experience Level Please select Internship Entry level Mid-level Senior Level Executive Level Technical level
Education Please select Teacher Administration Admissions Home School Trainer Counselor Trades
Engineering Please select Software Cyber Security Mechanical Computer Biomedical Electrical Nuclear Semiconductor Aerospace Civil
Finance and Accounting Please select Auditor Financial Advisor Accountant Controller Analyst Tax Credit Analyst Banking Agency Owner
Government Please select Health Security Tax Human Resources Inspector Airport Agriculture Postal
Health care Please select Nursing Dental Laboratory In-Home Care Physical Therapy Pharmacy Therapist Medical Assistant Diagnostics
Information Technology Please select Cyber Security Database Systems Analyst IT Project Manager Web Developer Security Analyst Network Software Developer Hardware Engineer
Insurance Please select Sales Underwriter Actuary Adjuster Claims Administration Investigator
Manufacturing Please select Mechanical Machine Operator Drafting Quality Control Assembly Production Plant Operator
Marketing Please select Advertising Digital Research Public Relations Social Media SEO Copywriter
Non-profit Please select Fundraising Executive Director Membership Programs Administration Board Member
Retail / Fast Foods Please select Sales Buyer Retail Manager Inventory Food Preparation Food Manager Shift Manager General Manager Cashier
Security Please select Guard Law Enforcement Data Security Analyst Investigator Cyber Security Network Security Security Administrator Security Engineer
Sales Please select Inside Sales Outside Sales Business Development Account Management Call Center
Transportation Please select Bus Driver Cargo Agents Courier Truck Mechanic Self Employed Logistics
Construction Please select Bus Driver Cargo Agents Courier Truck Mechanic Self Employed Logistics
Customer Service Please select Call Center Bilingual Retail Associate Food Service Guest Services Technical Support Online Customer Support
Highest education achieved Please select High School Diploma Associates Degree Bachelors Degree Masters Degree Doctoral Degree
Community Groups (Select all that apply) How did you hear about this event? Please select Facebook BEEP X (Formerly Twitter) LinkedIn Instagram Email Urban League Affiliate Urban League Young Professionals Urban League Guild NUL Staff Referral from a friend or colleague Other
