ORS registration form

First name: ^*

Last name: ^*

Email: ^*

Phone: ^*

Title: ^*

Agency: ^*

Website:

Gross Budget: ^*

SPECIFY FUNDING RECEIVED: ^*

DYCD Funding Received:

Discretionary Award Size: ^*

WHAT DO YOU HOPE TO GAIN FROM THE WORKSHOP?: ^*

HOW MANY BOARD MEMBERS OR EXECUTIVE LEADERS WILL BE JOINING?: ^*

HOW MANY STAFF ARE COMMITTED TO ATTEND?:

PLEASE CHECK HERE TO INDICATE YOUR COMMITMENT: ^*

I AGREE TO FULLY PARTICIPATE IN THE NPHD WORKSHOP SERIES, WHETHER IT BE MONETARY COMMITMENT AND/OR COMMITMENT TO ATTEND THE TOTAL DURATION OF THE WORKSHOP

Type the text shown: * CAPTCHA image

Send me a copy

^* These fields are required.

Spring 2023 All Workshops Collection

ORS registration form

Recent Events