Parent User Id
How will you be attending this event? Please select In-person Online
>> Please note pricing for online seats:
$399 Online Individual General
$299 Online Individual Non-profit
$1,196 Online 4+1 Group Non-profit
>> Please note pricing for in-person seats:
$1,299 In-person Individual General
$1,299 In-person Individual Non-profit
$1,299 In-person Simmons Alum
$1,299 In-person Simmons Student
$1,299 In-person Simmons Faculty/Staff
Registration Contact Information
First Name
Middle Name
Last Name
What are your preferred pronouns? Select preference She/her/hers He/him/his They/them/theirs Ze/zir/zirs (or Xe/xem/xyr) Other
What is your leadership level? Please select Early Career (i.e. below supervisory level) Mid Career (i.e. director, manager, assistant VP) Executive (i.e. SVP, EVP, VP, C-Suite, Dean, Partner)
What is your job title?
Please specify:
What best describes the industry you work for? Please select Computer Hardware/Software Education Finance/Banking/Insurance Healthcare/Medical High Tech Informational Technology Manufacturing Non-Profit Pharmaceuticals Telecommunications Other Other
What is your company name?
Email
Mobile Number
Please share your email address to receive a copy of the registration confirmation email
Address
Address 1
Address 2
Country/Region Select Country/Region Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo The Democratic Republic Of The Cook Islands Costa Rica Cote D'Ivoire (Ivory Coast) Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey and Alderney Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong S.A.R. Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea North
Korea South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau S.A.R. Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man (Isle of) Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Antilles Netherlands The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Occupied Panama Papua new Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts And Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent And The Grenadines Saint-Barthelemy Saint-Martin (French part) Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Sudan Spain Sri Lanka Sudan Suriname Svalbard And Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Wallis And Futuna Islands Western Sahara Yemen Zambia Zimbabwe
State/Province Select State/Province
City
Zip/Postal Code
Demographics
*Disclaimer : The following questions are about you and your organization. Your answers are not required for registration and your participation is voluntary.
Please select one or more categories that best describe your racial or ethnic identity. How do you identify? Please select Woman Trans woman Man Trans man Genderqueer Nonbinary Prefer not to say Other Other
What is your age? Please select Under 18 18-24 years old 25-34 years old 35-44 years old 45-54 years old 55-64 years old 65-74 years old 75+ years old
What is your highest level of education? Please select Some High School High School Some college Technical certification Associate degree Bachelor's degree Master's degree Doctoral degree Professional degree (JD, MD, etc)
Getting To Know You
Are you affiliated with Simmons University? (Select all that apply.) Please provide your degree and graduation year. (For example: BA' '95, MS '9, MBA '08)
How did you hear about this event? (Select all that apply.) Other
Terms and Conditions
Program Agenda
The Simmons Leadership Conference is not responsible for any speaker or program changes that may occur. In the unlikely event of program changes, updates will be posted on our website and/or announced on the day of the event.
Ticket Transfers
Tickets are non-refundable but completely transferable. Registration substitutions are allowed with the written permission of the original registrant. The transfer ticket deadline is February 20, 2025.
Privacy Notice
Personal information is being collected by vFairs on behalf of Simmons University. This information includes attendee name, company name, title, email, address, phone number, special accommodations, and country of residence. The information will be used to email conference related information, provide customer services, create name badges, and provide you access to the event's mobile app. Attendee information will be stored indefinitely for the purposes of historical reporting only. For more information on how your data is stored, to make modifications to your personal data, or to have your personal information deleted after the event, please contact LeadershipInstitute@simmons.edu .
Conference Inclusion Policy
Simmons University Institute for Inclusive Leadership is committed to providing a safe and productive environment that fosters open dialogue free of harassment, discrimination and hostile conduct. We recognize a shared responsibility to create and maintain that environment for the benefit of all.
By registering and attending the Simmons Leadership Conference you agree to:
respect diversity of thought from your fellow participants
refrain from demeaning, discriminatory or harassing behavior and speech
promptly alert event organizers if you notice a potentially dangerous situation or someone in distress
Photo Release
By registering and attending the Simmons Leadership Conference you agree to grant Simmons and its authorized representatives permission to record photography film and/or video, pictures of your participation. You further agree that any or all of the material photographed may be used, in any form, as part of any future publications, brochures, or other printed materials used to promote Simmons.
I agree to the terms and conditions above as part of my registration Registration Package Selection
Would you like to register the four (4) members of your group right now? Please select Yes No
Group Registration Select 1 2 3 4
Important Information for In-Person Registrations
Your PREFERRED NAME as it should appear on your badge
Do you have ay dietary restrictions? (Select all that apply.) Do you need any special accomodations? (Select all that apply.) Bulk Import
