Registration

Thank you for your interest in attending this year's virtual conference on Thursday February 17th, 2022.

Please complete this registration survey form. You will receive e-mail confirmation once you've submitted the form.

The Zoom links for all sessions and final agenda will be sent 24 hours prior to the conference start via the email address provided at the time of registration. 

The general agenda is available via the Coalition website and conference brochure.

Registration will close on Tuesday February 15th at 4:00 pm.

For assistance or questions, please contact Nicole Wells @ nicolewells@achievementctr.org

Question Title

* 1. Full Name (Last name, First Name)

Question Title

* 2. Email Address Zoom links & agenda will be sent to the email address provided here. Please double-check for accuracy

Question Title

* 3. Which best describes your role in attending the conference:

Question Title

* 4. What is your home zip code?

Question Title

* 5. How did you hear about the conference?

Question Title

* 6. Are you interested in obtaining Continuing Education Credits? If so, which kind?

Question Title

* 7. Do you require accommodations to participate in this virtual event? If yes, please explain.

Question Title

* 8. Would you like to join our mailing list please? If you check yes, we will use the e-mail address you provided for registration.

Question Title

* 9. Why are you interested in attending this conference?

0 of 9 answered
 

T