{"id":12653,"date":"2026-04-01T14:32:43","date_gmt":"2026-04-01T19:32:43","guid":{"rendered":"https:\/\/uwm.edu\/chemistry\/?page_id=12653"},"modified":"2026-04-01T14:32:45","modified_gmt":"2026-04-01T19:32:45","slug":"registration","status":"publish","type":"page","link":"https:\/\/uwm.edu\/chemistry\/outreach\/annual-research-symposium\/registration\/","title":{"rendered":"Registration"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_91' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">2026 Annual Research Symposium Registration<\/h2>\n                            <p class='gform_description'>Kindly respond by April 22nd to confirm your attendance so that we can plan accordingly.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_91'  action='\/chemistry\/wp-json\/wp\/v2\/pages\/12653' data-formid='91' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Let4LkmAAAAAMDytJZITec55NB97k2BiShMXqPE' data-tabindex='0'><input id=\"input_7c72d8279b28a8f2fad78e826d3e9113\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_7c72d8279b28a8f2fad78e826d3e9113\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_91' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_91_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_91_1'>\n                            \n                            <span id='input_91_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_91_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_91_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_91_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_91_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_91_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_91_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_91_3_container'>\n                                <span id='input_91_3_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_3' id='input_91_3' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_91_3' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_91_3_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_3_2' id='input_91_3_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_91_3_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_91_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_91_16'>Affiliation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_91_16' type='text' value='' class='large'  aria-describedby=\"gfield_description_91_16\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_91_16'>Example: UWM Chemistry or [Company Name]<\/div><\/div><fieldset id=\"field_91_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >April 30th 3:00-4:30pm &#8211; I will attend and actively participate in the poster session.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_91_9'>\n\t\t\t<div class='gchoice gchoice_91_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Yes'  id='choice_91_9_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_91_9\"   \/>\n\t\t\t\t\t<label for='choice_91_9_0' id='label_91_9_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='No'  id='choice_91_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_9_1' id='label_91_9_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_91_9'>A meal (Qdoba) will be provided for active participants (Poster Presenters, Judges, and those Listening to Poster Presentations). Poster Session will be held in the 1st floor lobby.<\/div><\/fieldset><fieldset id=\"field_91_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >April 30th 4:30-5:20pm &#8211; I will attend the Sosnovsky Lectureship.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_91_8'>\n\t\t\t<div class='gchoice gchoice_91_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Yes'  id='choice_91_8_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_91_8\"   \/>\n\t\t\t\t\t<label for='choice_91_8_0' id='label_91_8_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='No'  id='choice_91_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_8_1' id='label_91_8_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_91_8'>Held in lecture hall CHEM 110.<\/div><\/fieldset><fieldset id=\"field_91_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >April 30th 5:30-6:30pm -I will attend the Q\/A Panel with Alumni &amp; Sponsors.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_91_13'>\n\t\t\t<div class='gchoice gchoice_91_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Yes'  id='choice_91_13_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_91_13\"   \/>\n\t\t\t\t\t<label for='choice_91_13_0' id='label_91_13_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='No'  id='choice_91_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_13_1' id='label_91_13_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_91_13'>Held in room CHEM 150.<\/div><\/fieldset><fieldset id=\"field_91_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >May 1st 11:30pm-1:00pm &#8211; I will attend and actively participate in the poster session.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_91_10'>\n\t\t\t<div class='gchoice gchoice_91_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Yes'  id='choice_91_10_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_91_10\"   \/>\n\t\t\t\t\t<label for='choice_91_10_0' id='label_91_10_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='No'  id='choice_91_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_10_1' id='label_91_10_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_91_10'>A meal will be provided for active participants (Poster Presenters, Judges, and those Listening to Poster Presentations). Poster Session will be held in the 1st floor lobby.<\/div><\/fieldset><fieldset id=\"field_91_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >May 1 Meal Option<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_91_15'>\n\t\t\t<div class='gchoice gchoice_91_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='I will not attend'  id='choice_91_15_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_91_15\"   \/>\n\t\t\t\t\t<label for='choice_91_15_0' id='label_91_15_0' class='gform-field-label gform-field-label--type-inline'>I will not attend<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Attending but no meal'  id='choice_91_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_1' id='label_91_15_1' class='gform-field-label gform-field-label--type-inline'>Attending but no meal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='THE BASIC - Roast Turkey'  id='choice_91_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_2' id='label_91_15_2' class='gform-field-label gform-field-label--type-inline'>THE BASIC &#8211; Roast Turkey<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='THE BASIC - Black Forest Ham'  id='choice_91_15_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_3' id='label_91_15_3' class='gform-field-label gform-field-label--type-inline'>THE BASIC &#8211; Black Forest Ham<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='THE BASIC - Herbed Chicken Salad'  id='choice_91_15_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_4' id='label_91_15_4' class='gform-field-label gform-field-label--type-inline'>THE BASIC &#8211; Herbed Chicken Salad<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='THE BASIC - Lemon Parsley Tuna Salad'  id='choice_91_15_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_5' id='label_91_15_5' class='gform-field-label gform-field-label--type-inline'>THE BASIC &#8211; Lemon Parsley Tuna Salad<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='THE CLASSIC - Vegetable Stack (V)'  id='choice_91_15_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_6' id='label_91_15_6' class='gform-field-label gform-field-label--type-inline'>THE CLASSIC &#8211; Vegetable Stack (V)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='THE CLASSIC - Lime Cilantro Chicken'  id='choice_91_15_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_7' id='label_91_15_7' class='gform-field-label gform-field-label--type-inline'>THE CLASSIC &#8211; Lime Cilantro Chicken<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='THE CLASSIC - Market Masterpiece'  id='choice_91_15_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_8' id='label_91_15_8' class='gform-field-label gform-field-label--type-inline'>THE CLASSIC &#8211; Market Masterpiece<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='THE CLASSIC - Grilled Basil Chicken'  id='choice_91_15_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_9' id='label_91_15_9' class='gform-field-label gform-field-label--type-inline'>THE CLASSIC &#8211; Grilled Basil Chicken<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='THE CLASSIC - Cranberry Turkey'  id='choice_91_15_10' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_10' id='label_91_15_10' class='gform-field-label gform-field-label--type-inline'>THE CLASSIC &#8211; Cranberry Turkey<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_11'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='THE CLASSIC - BBQ Chicken'  id='choice_91_15_11' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_11' id='label_91_15_11' class='gform-field-label gform-field-label--type-inline'>THE CLASSIC &#8211; BBQ Chicken<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_12'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='THE CLASSIC - Grilled Tofu Wrap (VG)'  id='choice_91_15_12' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_12' id='label_91_15_12' class='gform-field-label gform-field-label--type-inline'>THE CLASSIC &#8211; Grilled Tofu Wrap (VG)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_13'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='GREEN SALADS - Market Cobb Salad (V)'  id='choice_91_15_13' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_13' id='label_91_15_13' class='gform-field-label gform-field-label--type-inline'>GREEN SALADS &#8211; Market Cobb Salad (V)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_14'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='GREEN SALADS - Santa Fe Salad (V)'  id='choice_91_15_14' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_14' id='label_91_15_14' class='gform-field-label gform-field-label--type-inline'>GREEN SALADS &#8211; Santa Fe Salad (V)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_15'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='GREEN SALADS - Quinoa Salad (V)'  id='choice_91_15_15' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_15' id='label_91_15_15' class='gform-field-label gform-field-label--type-inline'>GREEN SALADS &#8211; Quinoa Salad (V)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_16'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='GREEN SALADS - Caesar Salad (V)'  id='choice_91_15_16' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_16' id='label_91_15_16' class='gform-field-label gform-field-label--type-inline'>GREEN SALADS &#8211; Caesar Salad (V)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_91_15_17'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='GREEN SALADS - Strawberry Gorgonzola Salad (V)'  id='choice_91_15_17' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_91_15_17' id='label_91_15_17' class='gform-field-label gform-field-label--type-inline'>GREEN SALADS &#8211; 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