All-Partner Networking Meeting Registration

Please complete the following to register for the virtual Strafford County All-Partner Networking Meeting on Friday March 19th, 2021 from 10:00am - 11:30pm. We look forward to "seeing" you there.

If you have questions, please contact Ashley L. Desrochers at adesrochers@goodwinch.org.

Thank you!

Question Title

* 1. Contact information:

Name

Company/Organization

Email Address

Question Title

* 2. What is your current job title at your company/organization?

Question Title

* 3. What is your primary area of work?

Substance abuse prevention, treatment, recovery or harm reduction

Mental or Behavioral Health

Healthcare (Primary Care, Hospital, Dental, etc.)

Housing/Homelessness

Law Enforcement

Business

Education

Media

Youth Serving Organization (YMCA, Boys & Girls Club, Teen Center, etc.)

State, Local or Other Government Agency

Other (please specify)

Question Title

* 4. What communities in Strafford County do you work in? (Select all that apply)

All of Strafford County

Barrington

Dover

Durham

Farmington

Lee

Madbury

Middleton

Milton

New Durham

Rochester

Rollinsford

Somersworth

Strafford

I do not work in Strafford County

All-Partner Networking Meeting Registration

Question Title

* 1. Contact information:

Question Title

* 2. What is your current job title at your company/organization?

Question Title

* 3. What is your primary area of work?

Question Title

* 4. What communities in Strafford County do you work in? (Select all that apply)

Question Title

* 5. Do you need closed captioning or other accessibility accommodations for this meeting? (If yes, please explain)