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ASPIRE AI Workshop Sign-Up -> September 26, 2026 I 10AM - 6PM

SECTION 1 - Registration & Privacy Notice

Your responses are confidential. Only anonymous information will be shared with our research and program partners to improve services and measure impact. No personal details will be shared. By continuing, you agree to the use of your anonymous responses. This survey should take 3-5 minutes to complete.

What's your first name?

What's your last name?

What's your email?

What's your phone number?

What's your ZIP code?

SECTION 2 - Event Logistics & Access

Will you need to check out a laptop during the event?

Do you have any accessibility needs you'd like us to be aware of?

What's your t-shirt size?

How did you hear about ASPIRE?

How did you hear about ASPIRE?
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F

SECTION 3 - Your Background

What is your age range?

What's the highest level of education you've completed?

What best describes your current industry?

What best describes your current role?

SECTION 4 - Your Experience With AI

Which best describes your current level of experience using AI tools?

Have you ever participated in an AI or technology workshop before?

Have you ever participated in an AI or technology workshop before?

Which of the following best describes your mindset about AI?

SECTION 5 - Confidence Using AI

How confident do you feel using AI to solve problems or create ideas?

(1 = Not Confident, 2 = A Little Confident, 3 = Somewhat Confident, 4 = Confident, 5 = Very Confident)
How confident do you feel using AI to solve problems or create ideas?
Not ConfidentVery Confident

How confident do you feel applying AI tools in your work, life and community?

(1 = Not Confident, 2 = A Little Confident, 3 = Somewhat Confident, 4 = Confident, 5 = Very Confident)
How confident do you feel applying AI tools in your work, life and community?
Not ConfidentVery Confident

SECTION 6 - Goals & Community

What are you most hoping to gain from today's workshop? (select up to two)

In what ways, big or small, do you currently feel connected to or supportive of your community?

This could include involvement with projects, nonprofits, small businesses, causes, or even personal actions or intentions.

SECTION 7 - Access

Do you currently have regular access to a smartphone, computer, and internet?

What language(s) do you primarily speak at home? (select all that apply).

What language(s) do you primarily speak at home? (select all that apply).

What's your gender identity?

What's your gender identity?

What's your racial identity?

What's your racial identity?

Which of the following ranges best describes your total household income before taxes last year?

SECTION 8 - Childcare Support

We are offering free on-site childcare during the ASPIRE workshop through Jovie Nannies. This information is used only for on-site safety and planning.

Will you need on-site childcare during the workshop?

SECTION 9 - Agreements

Please review the linked documents and make your selections below:

Confidentiality (required)
Please review the linked documents and make your selections below:
Image Release (optional)
Untitled checkboxes field

Signature

By signing your name below, you confirm your selections.
Signature