Hilberry Info Form Hilberry SIP Information Form Name(Required) First Last Preferred Pronuns(Required) He/Him/His She/Her/Hers They/Them/Theirs Other Email(Required)Please list the email where you would like your confirmation to be sent. Enter Email Confirm Email Name on Program(Required)Please fill out how you would like your name to show in the Program. For example, John C. Smith, Jonathan “John” Smith, John Smith Jr., etc.SIP Advisor(Required) Kevin Fitton Ryan Fong Marin Heinritz Amelia Katanski Ben Kingsley Shanna Salinas Babli Sinha Other Title of SIP(Required)Brief Thematic Description of the SIP Project(Required)In 3-5 sentences, please describe your SIP. Beyond genre, what is your SIP about? Media Needs(Required)A computer, screen, and PowerPoint remote will be provided at each of the venues. Please list any additional media needs or type in NONE.Pertinent Time Conflicts(Required)Do you have any scheduling conflicts with the day of the symposium or any time between 1:00pm-4:30pm? Type NONE if there are not any conflicts with the schedule.Dietary Restrictions(Required)Please include any dietary restrictions for yourself or your party. Type NONE if not applicable. (Allergies, sensitivities/intolerance, vegan, vegetarian, gluten-free, halal, kosher, etc) Δ
