Tribal Exchange Network Conference Registration Form
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.

First Name *
Your answer
Last Name *
Your answer
Tribe/Organization (employer) *
Your answer
Job Title *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
ZIP Code *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Confirm Email Address *
Your answer
Emergency Contact *
Please enter the first and last name and direct phone number of an appropriate emergency contact.
Your answer
Would you like to be added to ITEP's Tribal EN Email list? *
How many years have you been involved in Exchange Network activities?
Check all that apply
Please tell us briefly about your Exchange Network project, if applicable
Your answer
Are you currently exchanging data? If so, what types and with what technology/software?
Your answer
What topics or sessions would you like to see included in this conference?
Your answer
Scholarship Request
Do you need travel support to attend this conference? *
Tribal employees may be eligible for limited travel assistance to attend the conference.
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