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2nd Annual Cities for Citizenship (C4C) Municipal Gathering - Registration Form
The 2nd annual C4C Municipal Gathering will take place on Sunday, December 10th from 9 AM - 2 PM, prior to the kick off of the National Immigrant Integration Conference (NIIC) in Phoenix, Arizona. This gathering is open to all cities and counties, and will be discussing the work of naturalization, financial empowerment and immigrant integration policies and programs.

This form is to confirm your attendance AND apply for the C4C Municipal Gathering Scholarship.

A limited number of C4C Municipal Gathering Scholarships will be provided to eligible attendees that register. To qualify for the scholarship you must be 1) a municipal staff / representative and 2) plan to attend the entire National Immigrant Integration Conference 2017. Scholarships are limited to 1 per city or county and will cover the following costs.

Saturday night, December 9th, hotel stay at Renaissance Phoenix Downtown Hotel - 100 North 1st Street, Phoenix, Arizona, 85004
3-Day Registration to the National Immigrant Integration Conference 2017
$150 travel stipend to Phoenix, Arizona

First and Last Name *
Your answer
Email *
Your answer
City Office or Organization *
Your answer
Is your city or county a current member of Cities for Citizenship? *
Do you plan to attend the C4C Municipal Gathering on Sunday, December 10th from 9:00 AM - 2:00 PM? *
Do you plan to attend the National Immigrant Integration Conference (NIIC) immediately following the C4C Municipal Gathering? *
Would you like to apply for the C4C Municipal Gathering Scholarship? (The scholarship covers the Saturday night hotel room, registration to the National Immigrant Integration Conference and a $150 travel stipend. Scholarships are limited and for municipal staff only. Scholarship recipients will be notified Tuesday, October 17th if they were granted the scholarship.) *
Required
What do you hope to gain from the C4C Municipal Gathering? *
Your answer
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