Please enable JavaScript in your browser to complete this form. - Step 1 of 4I am attending:IndigiData MN from June 11-17, 2023IndigiData WA from July 30–August 5, 2023Please only check both boxes if you've already been in conversation with an organizer to attend both workshops.I am:Driving from home to and from the workshop (no flight needed)I need a flight for at least part of the journey to/from the workshopAirline and Flight DetailsThis first section will assist us in purchasing flights. Please write details EXACTLY as written on the government ID (i.e., driver's license or passport) that you will use on days of travel, otherwise TSA may not permit you to board your flight. By default, we choose flight plans that ensure participants will arrive the Sunday before Day 1 of the workshop and expect departures from the area the Saturday following the workshop's conclusion.NameFirstMiddleLastMust match EXACTLY as written on the government ID (i.e., driver's license or passport) that you will use on days of travel.Email *EmailConfirm EmailThis is the email to receive your airline ticket details.Mobile or Cell Phone on Travel Dates *Date of BirthMM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender as Shown on Government IDMale (M)Female (F)Undisclosed (U)Unspecified (X)Must match EXACTLY the government ID used for travel. Note that each airline has restricted options.Departure City and Airline CodeCity in which you plan to depart.Additional Departure City and Airline CodeIf you have a second option, please indicate it here.Known Traveler Number (KTN), If ApplicableEmergency Contact NameFirstLastEmergency Contact PhoneSpecial Airline Accommodation RequestsI do not have any flight preferencesI have additional flight preferencesNote: We will attempt to accommodate any airline requests to the best our budget allows.Return DatePlease only indicate if you have a date of return back to your local airport OTHER THAN the Saturday after Day 5 of the workshop. NOTE: Student participants agree to attend all the workshop events.Preferred AirlineOther Special InstructionsList any preferred flight details (such as flight plans), preferred, airplane seating, or frequent flier information.NextPer Diem and Ground TransportationWe do our best to account for travel expenses (such as air travel and group meals), but we may have to reimburse you for mileage to/from your departure airport, and some meals will be on your own. The information below will enable us to reimburse these individual costs.Are You a U.S. Citizen? *YesNoNecessary because there are different forms for reimbursing U.S. and International vendors.Mailing Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPlease ensure this is a working mailing address.Ground Transportation to Departure AirportI will be driving a personal vehicle.I will be renting a vehicle.I will be hiring some means of transport (i.e., rideshare, taxicab, or metro).Other (indicate in Special Notes below).Estimated One-Way Mileage to Departure AirportUseful for estimating costs for individuals who live several hours from their nearest airport.Any Special NotesNextIndigiData 2023 Participant Details for ProgramWe will prepare a program that includes all participants' details for distribution to workshop attendees. Help us by providing details EXACTLY as you wish them to appear. We will copy and paste directly from this form.Full Name *As you would like it to appear on IndigiData materials.Tribal Affiliation or Indigenous Group NameAs you would like it to appear on IndigiData materials. Leave blank if preferred or not applicable.Institutional Affiliation(s)Which, if any, pronouns do you use? (Examples: she/her, they/them, he/him)IndigiData strives to be inclusive of everyone so they can feel welcome. This information will help everyone use the most respectful language when addressing you. Feel free to leave this blank.Short Bio Statement *Maximum of 30 words. This will be copied and pasted directly from this form.Profile Picture to Accompany Bio * Click or drag a file to this area to upload. Upload one image (.jpg, .jpeg, .png, .gif). Maximum file size: 32 MB. This is just for a thumbnail image. Ideally at least 200x200 pixels.Other DetailsI Am Interested In Providing an Indigenous Introduction or Closing Statement for One of the Workshop Days.YesNoMaybeEvery workshop day begins and ends with a cultural affirmation. We invite participants to volunteer for this role, if interested. This could include saying a blessing, reading a poem, sharing a song, etc.I Agree to Have My Picture/Video TakenYesNoWhat T-Shirt Size Would You Like Ordered for You? *Unisex SWomen's SUnisex MWomen's MUnisex LWomen's LUnisex XLWomen's XLUnisex 2XLWomen's 2XLUnisex 3XLDecline a T-ShirtNote: These sizes are according to the company that we use to print workshop t-shirts. If you're requesting a women's size, it might be a good idea to order one size larger than you usually wear.Please Indicate Your Book Preference!Braiding Sweetgrass: Indigenous Wisdom, Scientific Knowledge and the Teachings of Plants by Robin Wall KimmererDecolonizing Methodologies: Research and Indigenous Peoples by Linda Tuhiwai SmithBecoming Kin: An Indigenous Call to Unforgetting the Past and Reimagining Our Future by Patty KrawecPlease list any food allergies and/or dietary restrictionsFeel free to leave blank if not applicable.Please indicate if you will need any other accessibility accommodationsFeel free to leave blank if not applicable.Questions, Comments, or ConcernsPlease let us know if you have any questions, comments, or concerns about participating.NextSocial Media GuidelinesSocial Media Guidelines Hashtag: #IndigiData2023 We encourage the use of social media during the IndigiData workshop as a way to share information about the program. Please abide by the following IndigiData social media guidelines. IndigiData is comprised of two workshops: InigiData MN and Indigidata WA. While neither of these has its own handle, we will tag @IndigiData or #IndigiData2023. Do: Follow IndigiData on Twitter (@IndigiData) and use the #IndigiData2023 hashtag to follow the latest updates and join in the conversation about the workshop. Follow The Native BioData Consortium on Facebook at: https://www.facebook.com/NativeBioData Blog, tweet, or post on Facebook about what you are hearing and learning at IndigiData, but do not share under circumstances outlined (in the "Don't" section) below. Respect when speakers ask that entire talks, specific details, or slides not be shared. Communicate with respect and consideration for others, and keep criticism constructive, gentle, and in-person rather than online. Every attendee has been vetted and deserves to participate fully without fear of "call-outs" on social media, even if you disagree with their perspective or believe they have made a mistake. Remember that views expressed during the workshop belong to the individual and not necessarily to IndigiData. Please be mindful to attribute thoughts and ideas correctly when using the @IndigiData handle. Don't: Don't capture, transmit, or redistribute comments or conversations held where participants have reasonable expectations of confidentiality or privacy, e.g. talking circles. Conversations among participants and faculty and comments/questions shared during group discussion are off-limits for public disclosure unless one gets explicit permission to share them. This ensures a safer space and allows participants to feel comfortable speaking up. Don't capture, transmit, or redistribute data presented at the meeting unless you were given explicit permission to do so, as this may preclude its later publication in a scientific journal. Don't publicly post copyrighted or trademarked material, or material protected by other intellectual property rights. Don't engage in rudeness, slander, or personal attacks. Don't disparage or assume bad intentions on the part of any IndigiData participant or faculty. Don't tag individuals in photos or posts unless they have given you permission. Many of the posts are public, so we want to be respectful of individual privacy. Individuals who participate in IndigiData's social media/online networking are expected to: Maintain a courteous and respectful demeanor in their comments or posts. Contribute value, ideas, and/or expertise. Represent themselves and their organizations/communities truthfully and professionally. Recognize that participants in IndigiData-related social media discussions include genomics and Indigenous communities; our allies both inside out and outside of the academy; policymakers, members of the media, publishers, and the general public. Derogatory, demeaning, inflammatory, offensive, disrespectful, or otherwise inappropriate comments will not be tolerated. The views and opinions posted related to IndigiData on social media do not necessarily reflect the views, opinions, or policies of IndigiData, its Advisory Council, partners, sponsors, or other committees. IndigiData reserves the right to remove comments it deems, in its sole discretion, to be inappropriate.Social Media Guidelines *I have read and agree to abide by the Social Media GuidelinesTwitter HandleShare only if you are comfortable with being publicly tagged on the @IndigiData handle.Submit