Register for the Midwest Collaborative: Data for Evidence-Based Policy Convening

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Thank you for registering for the Midwest Collaborative: Data for Evidence-based Policy Spring Convening on March 5th and March 6th at The Ohio State University.

Details:

March 4: Welcome Dinner (site TBD) from 6:30 to 8:30 p.m.
March 5: Leadership Convening at the Ohio Union from 9:00 a.m. to 5:00 p.m.
March 6: Working Groups (Governance and Data Systems) at the Ohio Union from 9:00 a.m. to 4:00 p.m.

Please complete the brief form below to complete your registration and confirm your preferences for the event.

Please note that Day 1 is designed to be a convening of stakeholders from a wide range of backgrounds to set a high level agenda. Day 2 is designed for two working subgroups to develop governance and data models.

First name *

Last name *

Title *

Organization *

E-mail address *

Phone number *

Mailing address *

Please indicate which days you are planning to attend: *

Day 1: Thursday, March 5 Leadership Convening (9:00 a.m. to 5:00 p.m.)

Day 2: Friday, March 6 Working Group Sessions (9:00 a.m. to 4:00 p.m.)

Both Day 1 and Day 2

Required

Please indicate if you are planning to attend the welcome dinner on the evening of Wednesday, March 4 from 6:30 to 8:30 p.m. *

Yes

Please indicate if you have any dietary restrictions. *

Vegetarian

Gluten-free

None

Other:

Required

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