Skip to content
National Dialogue on Workplace Flexibility
3.
Registration
Please register to attend the National Dialogue on Workplace Flexiblity held on Tuesday, February 28, 2012 at MEDB's Malcolm Center, Suite 5 1305 N. Holopono St., Kihei, HI 96753 from 9:30 a.m. - 12 p.m.
*
1.
NAME:
(Required.)
First
Middle
Last
*
2.
Company Name
(Required.)
3.
MAILING ADDRESS:
Mailing Address:
City:
Zip:
*
4.
Island
(Required.)
Big Island
Kauai
Maui
Oahu
Other (please specify)
*
5.
Gender
(Required.)
Male
Female
*
6.
Email
(Required.)
*
7.
Business Phone + Extension
(Required.)
*
8.
Industry Sector
(Required.)
Clean Energy
Community Organization
Construction
Education
Finance and Real Estate
Government
Healthcare
Professional Association or Union
Restaurant and Hospitality
Retail
Technology
Comments (if "other", please specify)
*
9.
Size of Business
(Required.)
10 and under
25 and under
50 and under
Greater than 50
