Register Today!
Event Description
Hosted by Enroll Nebraska and Enroll America.

Monday August 8 - Tuesday, August 9, 8:30 am - 4:30 pm each day

Location To Be Determined in Omaha, NE.
Lodging: On your own.
Meals: lunch will be provided both days
Schedule: Soon to come

Join Nebraska enrollment and healthcare organizations in creating, refining, and collaborating on your work plans to enroll more Nebraskans for OE4 and beyond.

We are inviting all enrollment assisters to be a part of this convening including Enroll Nebraska coalition partners, Enrollment Assister Managers, Enrollment Assisters, Healthcare advocates and Community-Based Nonprofits.

Join us for this Free Event!

Registration closes August 3, 2016.
First Name *
Your answer
Last Name *
Your answer
Title *
Your answer
Organization *
Your answer
Org Address
Your answer
Org City
Your answer
Org State
Your answer
Org Zip
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Do you have any dietary restrictions? If so, what are they?
Your answer
I will be attending the Nebraska Get Covered Academy in Omaha. *
Anything else we should know?
Your answer
Never submit passwords through Google Forms.
This form was created inside of Nebraska Appleseed. Report Abuse - Terms of Service