Please list the state and county(ies), or tribal land(s) you work in: *
Your answer
What professional sector best describes you?: *
Required
How did you hear about the 7th Annual CSEC Task Force Conference?
Your answer
Is this your first time attending a CSEC Task Force Conference? *
Registration Payment Details
How would you like to pay for your $10 registration fee? *
All invoices will be sent to the email address entered at the top of this form.
Fee Waiver Request
If you would like to request a fee waiver, please provide a brief answer to the following 3 questions. If you are not requesting a fee waiver, you can say "waiver not requested."
Fee Waiver Request Question 1 of 3: What interests you in this conference? *
If you do not wish to request a waiver, you can say "waiver not requested."
Your answer
Fee Waiver Request Question 2 of 3: What do you hope to gain from attending this conference? *
If you do not wish to request a waiver, you can say "waiver not requested."
Your answer
Fee Waiver Request Question 3 of 3: How will you apply the knowledge from this conference to your work? *
If you do not wish to request a waiver, you can say "waiver not requested."
Your answer
Thank you for your responses!
You will receive a follow up email from us regarding invoicing and registration confirmation shortly. In the meantime, if you have questions related to the conference feel free to reach out to Michelle Williams at mwilliams@ccyj.org
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