Fall Conference 2015 Registration
UC Berkeley's Foresight Pre-Optometry Club will be hosting its annual Fall Conference on October 17th, 2015. Please register if you are interested in learning about the UC Berkeley School of Optometry and optometry in general! For more information, please visit our website at: http://foresight.berkeley.edu

REGISTRATION DEADLINE: October 10th, 2015 at 11:59 PM

WHEN: Saturday, October 17th, 2015
WHERE: UC Berkeley School of Optometry
TIME: 9:00 AM - 3:30 PM

If you have any questions, please email the Fall Conference Co-Chairs, Irene and Michelle, at foresight.conference@gmail.com.
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First Name *
Last Name *
Email Address *
Your School *
(UC Berkeley, CSU East Bay, SFSU, etc.)
Phone Number *
i.e. (123) 456-7890
What year are you? *
Will you need housing accommodations on the night before the conference (housed by a Foresight member)? *
Will you be attending our tour starting at 8am? *
*The tour is OPTIONAL, starting an hour earlier before the main program.*
Rotation Preferences
At this year’s conference, we will be providing different workshops to cater to both those who are exploring and learning more about optometry and those who are preparing for the current application cycle. We will have two rotations in which attendees can attend workshops they are interested in. In order to gauge your preferences, please rank your choices below for each rotation.

*Please note that space is limited for the Pre-Clinic Workshop. It is capped at 30 attendees per rotation.*
Please rank your choices below for the first rotation. *
(For example, if your top choice is the Essay Writing Workshop, please mark as "1st Choice.")
1st Choice
2nd Choice
3rd Choice
Essay Writing Workshop with Berkeley Optometry Admissions and Student Affairs Office 
Pre-Clinic Workshop with current optometry students
Panel with Berkeley Optometry Students
Please rank your choices below for the second rotation. *
(For example, if your top choice is the Interview Workshop, please mark as "1st Choice.")
1st Choice
2nd Choice
3rd Choice
Interview Workshop with Berkeley Optometry Admissions and Student Affairs Office 
Pre-Clinic Workshop with current optometry students
Mock Lecture with Berkeley Optometry Instructor
How did you hear about Fall Conference? *
Mark all that apply
Required
Dietary Restrictions (If applicable)
Mark all that apply and please indicate food allergies under "Other"
What are some questions you would like to ask the faculty panel?
Why are you interested in optometry?
What do you hope to get out of this year's fall conference?
Are you applying to optometry school this cycle? *
If no, when are you planning to apply?
If you are applying during the 2015-2016 cycle, please put down 2016.
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