State Environmental Leaders Conference 2017
Sign in to Google to save your progress. Learn more
Application for Reduced Registration Fee
We want you to attend this great conference, but recognize that the cost may be a barrier. The current registration fee is an excellent value, but poses an obstacle to some. If you are one of those who would like to be considered for a reduced registration fee, then please fill out the application below.

Our goal is to provide a Reduced Fee of $250 (for a double room), but this depends on the number of applicants and fundraising.

Please contact the Conference Organizer, Kristin Jackson, at or with questions.
Name *
Organization *
Email Address *
Phone Number *
City & State *
Please explain why you need the subsidized rate? *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy