Spring 2016 3SVT Regional Conferences

1. Registration Information

Please use this form to register for one of Hunger Free Vermont's Spring 2016 3SquaresVT Regional Conferences being held across Vermont. Thank you for your interest in this opportunity and we look forward to seeing you soon.

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* 1. First Name

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* 2. Last Name

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* 3. Organization

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* 4. Email Address

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* 5. Telephone Number

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* 6. Please choose the training date/location that you are registering for:

Rutland - Thursday, June 2nd

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* 7. There will be two different advanced workshop sessions during the conference. Participants will have a choice of two different workshops during each session.

Please select the workshop you will likely attend for the first session:

Making the most of benefits: Important income considerations and deductions for families with children

Making the most of benefits: The medical expense deduction for seniors and people with disabilities

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* 8. Please select the workshop you will likely attend for the second session:

Outreach to vulnerable populations: How can you reach the hard to reach and break down barriers/stigma (Small group discussion)

Advocating for your client throughout the application process: Rights and responsibilities, roles of community assistors, fair hearing & appeal process, etc. (will include an opportunity to brainstorm specific cases)

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* 9. If you would like to register more than one person from your organization for the same training date/location, you may add their names AND email addresses here.

Spring 2016 3SVT Regional Conferences

1. Registration Information

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Organization

Question Title

* 4. Email Address

Question Title

* 5. Telephone Number

Question Title

* 6. Please choose the training date/location that you are registering for:

Question Title

* 7. There will be two different advanced workshop sessions during the conference. Participants will have a choice of two different workshops during each session.

Please select the workshop you will likely attend for the first session:

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* 8. Please select the workshop you will likely attend for the second session:

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* 9. If you would like to register more than one person from your organization for the same training date/location, you may add their names AND email addresses here.

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* 10. Do you have any special needs (i.e. accessibility, diet)?

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* 11. Why are you attending? What are your goals for the day?

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* 12. Any additional questions or comments?

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* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Organization

Question Title

* 4. Email Address

Question Title

* 5. Telephone Number

Question Title

* 6. Please choose the training date/location that you are registering for:

Question Title

* 7. There will be two different advanced workshop sessions during the conference. Participants will have a choice of two different workshops during each session.Please select the workshop you will likely attend for the first session:

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* 8. Please select the workshop you will likely attend for the second session:

Question Title

* 9. If you would like to register more than one person from your organization for the same training date/location, you may add their names AND email addresses here.

Question Title

* 10. Do you have any special needs (i.e. accessibility, diet)?

Question Title

* 11. Why are you attending? What are your goals for the day?

Question Title

* 12. Any additional questions or comments?

* 7. There will be two different advanced workshop sessions during the conference. Participants will have a choice of two different workshops during each session.

Please select the workshop you will likely attend for the first session: