2023 VOH Hill Day Interest Form
Please use this form to indicate your interest and availability for the 2023 Veteran Oral Health (VOH) Hill Day hosted by AIDPH in partnership with CareQuest Institute for Oral Health, Veterans of Foreign Wars, Disabled American Veterans, Paralyzed Veterans of America, and Minority Veterans of America. This event will take place in person in Washington, DC, on March 28th, 2023, with a reception planned for March 27th, 2023. 

The tentative agenda is:
Monday, March 27th: Travel Day & Evening reception
Tuesday, March 28th: Preparation and Hill Day visits

Limited funding is available for participants who demonstrate financial need and would experience barriers to traveling without financial support. The planning committee will use this interest form to determine how funding can be allocated to support as many people as possible to attend this event.
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Your Email: *
What is your First and Last name? *
What is/are your organizational affiliation(s)? Please list any that you deem relevant. *
What is your residential city?  *
What is your state? *
What is your residential zip code? *
Please share your ability to support travel to this in-person event. *
This event is tentatively scheduled for March 27th (evening reception) and March 28th, 2023 (Hill Day). What is your level of commitment to attending at this time? *
We strive to host inclusive, accessible events that enable all individuals, including individuals with disabilities, to engage fully. Please share any access or event considerations that you'd like us to know about.
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