We are all responsible for assuring the conditions in which Coloradans can thrive. The Office of Health Equity’s first annual equity forum, Power, People, Purpose: Partnering for Equity will bring together equity champions from across the state to build new partnerships, share lessons learned, align priorities, and develop a shared narrative around equity in Colorado. 

We are looking for Coloradans who represent a variety of organizations, communities and fields. Join us if you'd like to unite with people actively working to advance equity and justice in fields such as: housing, education, health, criminal justice, parks and recreation, environment, transportation and land use, philanthropy and community mobilizing. 

The event is free and lunch will be provided. Mile reimbursement is available for a limited number of participants. Registration will close by April 23, or once we reach maximum capacity. For questions regarding Power, People, Purpose: Partnering for Equity, please contact cdphe_healthequity@state.co.us or call 303-692-2087. 

* 1. First Name

* 2. Last Name

* 3. Organization

* 4. Email

* 5. Phone

* 6. In which city or county does most of your work take place?

* 7. Which best describes your field of work?

* 8. Which best describes your type of group?

* 9. Do you have any dietary restrictions we should be aware of? Please select all that apply.

* 10. Do you have any food allergies?

* 11. Please describe your food allergies (Please type NA if Not Applicable)

* 12. We will be providing event participants with a contact list of other participants (name, organization, email, phone) in order to facilitate continued dialogue and partnerships following the event. Do you consent to your contact information being provided to the other participants?

* 13. Do you have any accommodation needs in order to fully participate in this event?

* 14. Please describe the accommodations needed (Please type NA if Not Applicable)

* 15. Why are you interested in attending this event and what knowledge/learning do you hope to walk away with?

* 16. We’re going to spend the afternoon brainstorming solutions for challenges that individuals or groups face around equity and justice. Please share an example of a challenge that you or your group has faced or is facing.

* 17. We will be conducting filming and taking photographs during this event. Do you consent to be filmed and/or photographed?