Community Table/Resource Listing Request
If you are representing a community organization that supports people living with or at risk of acquiring HIV in Oregon, and wish to table at the 2019 HIV Continuum of Care Conference please complete the form below. The conference committee is committed to sharing resources with attendees and will use the information provided to assign tabling space and list resources in the conference program. Please contact Dayna Morrison, Oregon AETC Program Manager with any questions: dayna@oraetc.org
Name of Person Completing this Form
Your answer
Email of Person Completing this Form
Your answer
Does your organization want to be listed in the conference program? Please note, priority will be given to organizations providing direct support to people living with HIV.
Do you want a table to share resource materials with conference participants?
If yes, how much space would you need? Please note priority will be given to organizations providing direct services to people living with HIV.
Name of Organization (to be listed in a resource directory)
Your answer
Organization website (to be listed in a resource directory)
Your answer
Organization Address (to be listed in a resource directory)
Your answer
Organization Phone Number (to be listed in a resource directory)
Your answer
Please provide a brief description of how your organization serves people along the HIV Care Continuum (200 words or less).
Your answer
Does your organization receive Ryan White funding?
Please select the following services your organization provides (select all that applies)
Please select the specific populations with whom your organization works (please note categories reflect HRSA reporting requirements and may not represent all identities served by this event).
Is there anything else we should know?
Your answer
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