Question Title

* 1. What is the name of your organization and, if applicable, specific
program? (Reminder: If your organization will have more than one program in attendance, please fill out separate registrations for each.)

Question Title

* 2. Will your organization be attending Project Homeless Connect 2019?

Question Title

* 3. Whom within your organization should we contact regarding Project Homeless Connect logistics?

Question Title

* 4. Provide a brief description of the services your organization will provide at Project Homeless Connect (i.e. info table with brochures; eye exams; pre-screening for program eligibility; flu shots, etc.)

Question Title

* 5. We usually provide 1 table and 2 chairs per organization. If you require more, or less, please answer the following: 

Question Title

* 6. Will you require electricity/power?

Question Title

* 7. Will you require access to a printer or copy machine? While we cannot guarantee access, we will do our best to meet your needs.

Question Title

* 8. Do you have any special requests?

Question Title

* 9. Is there any organization/person we may have missed that you believe would be a good fit for this event? If so, please provide the organization's name and contact information.

T