Tribal Exchange Network Conference Registration Form

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Please submit your information below to register for the Tribal Exchange Network Conference, scheduled to be held in Tucson, Arizona, February 27-28, 2018. All sessions are free to attend.

Scholarship requests are accepted through January 23, 2018. See below for details.

First Name *

Last Name *

Tribe/Organization (employer) *

Job Title *

Address *

City *

State *

ZIP Code *

Phone Number *

Email Address *

Confirm Email Address *

Emergency Contact *

Please enter the first and last name and direct phone number of an appropriate emergency contact.

Would you like to be added to ITEP's Tribal EN Email list? *

Yes

How many years have you been involved in Exchange Network projects or activities?

None, I'm new

<1 year

1-3 years

3-5 years

5+ years

Clear selection

What topics or sessions would you like to see included in this conference?

Scholarship Request

NOTE: The Scholarship Request deadline has passed; requests are no longer being accepted.

Do you need travel support to attend this conference? *

Tribal employees may be eligible for limited travel assistance to attend the conference.

YES

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