Exit this survey Leadership Conference 2017 - Resource Tables 1. Community Resource Table Registration Form Please join us for the 7th annual Leadership Conference! The goal of this free conference is to build leadership skills to enable local residents to become actively engaged in advocacy work in their communities.We welcome community organizations and local vendors to share information, products, and resources with community members at the conference. Please sign up below to reserve a resource table. Question Title SOUTH SHORE LEADERSHIP CONFERENCE Saturday, June 10th 2017West Middle School, Brockton Questions? Call The Family Center at 508-857-0272 or email juliana.langille@ccbrockton.org Question Title * 1. Please enter your contact information to register for a resource table: Name: * Company/Organization: * Address: * Address 2: City/Town: * State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Country: Email Address: * Phone Number: * Question Title * 2. Are you representing a non-profit organization? Non-profit organization For-profit organization If your organization is a for-profit organization, we ask for a donation of $50 for the table. This donation will be used to support the costs of the event. If your organization is already a sponsor of the event, this fee is waived.All donations may be made via check payable to: The United Way of Greater Plymouth County, attn: Community Connections of Brockton. Question Title Resource tables may be set up the morning of the conference, beginning at 8:30 a.m. Representatives will be asked to be at their tables during lunch and during breaks to interact with attendees. All resource table representatives are invited to attend keynote speaker presentations and leadership workshops. Breakfast and lunch are provided to all attendees and volunteers. Question Title Thank you for participating in the 2017 Leadership Conference! We look forward to seeing you [date TBA] Done