Santa Cruz Connect is pleased to announce that we will again be having our event in Watsonville on November 16, 2017. The event will be held at Veteran's Hall, located at 215 East Beach Street, Watsonville, CA 95076 from 11:00am - 5:00pm

Please complete this form to verify your participation in the November 16, 2017 Santa Cruz Connect event in Watsonville at Veteran's Hall. 

The deadline for submitting this form is November 1, 2017.

Fees for services are prohibited and conditional service delivery is strongly discouraged.

* 1. What is the name of your agency/organization?

* 2. What would you like printed on your organization's sign? This will be displayed at your booth on the day of the event.

* 3. Is your organization a...

* 4. Please describe the service(s) your organization will provide on November 16, 2017 for our event brochure. Maximum three sentences please.

* 5. How would you categorize the services you will be providing?

* 6. How many people from your organization will be attending to provide services?

* 7. On the day of the event, how many of the following items will you need?

* 8. Does your organization require any additional items/support on the day of the event?

* 9. Do you have a mobile unit? If so, please specify the length of your vehicle.

* 10. Who will be the primary contact for this event?

* 11. Email Address:

* 12. Phone Number:

Thank you for verifying your participation in Santa Cruz Connect's Watsonville Event! You will be contacted with more information closer to the event date.

Please contact Jenna Gallant at jenna@appliedsurveyresearch.org with any questions.

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