2017 Kalamazoo Summit On Racism
REGISTRATION FORM
Friday, November 17, 2017 (8:00am - 4:30pm)
Borgess Hospital - Lawrence Education Center
Last Name
Your answer
First Name
Your answer
Address
Your answer
Phone
Your answer
Email Address
Your answer
Organization/Affiliation
Your answer
Have you attended before?
Keynote: The Southern Poverty Law Center Yesterday and Today - Presenter: Lecia Brooks, Director of Outreach, Southern Poverty Law Center
Since 1971 the Southern Poverty Law Center based in Montgomery, Alabama has worked to ensure that the promise of the civil rights movement becomes a reality for all. Primarily using the courts initially, the SPLC now has a well-respected multi-pronged approach. Ms. Brooks will talk about the SPLC's history, present day tactics, and the state of civil rights today.
Breakout Sessions - Please indicate your top 3 choices
Please let us know of any special dietary needs
Your answer
Cost
To pay online - http://sharekazoo.org/
Scroll down to the bottom of the page, and click the donate button. Please indicate your name and 2017 Summit Registration.
To pay by check, make payable to SHARE and send to 471 W. South Street, Suite 42a, Kalamazoo, MI 49007/ PAYMENT AND REGISTRATION MUST BE RECEIVED NO LATER THAN FRIDAY, NOVEMBER 3, 2017. Space is limited. PRE-REGISTRATION IS REQUIRED.
Limited scholarships are available for students, professionals and community members. APPLY HERE https://docs.google.com/forms/d/e/1FAIpQLScpW0HaGxjpX6VpjLz96gYCGtUZHDcOsOmaxNNsB7w4EsAN9A/viewform?usp=sf_link
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms