America Votes! Advanced Advocacy Training Registration

When: Friday, January 5, 2018 9:30 am - 4:00 pm
Where: The Denver Foundation, 55 Madison Street STE #800, Denver, Colorado 80206
Contact: Sheryle Hutter at shutter@ccdconline.org or Angela Nevin at 303-744-6503 for more information.

This training provides an educational opportunity for clients, families, community activists, or those looking for additional skills necessary to work in the field of disability services and America’s chance to have an equitable voting process.

Registration deadline is December 29th.

This one-day class is available to anyone interested in learning more about the legislative/voting process and has no required prerequisite.

Email address *

Name *

Your answer

Best Phone Number: *

Your answer

Address

Your answer

Preferred contact method

Phone

Text

I will participate *

In-person

Remotely via computer (audio available via computer or phone)

Remotely via phone only (Least recommended option)

For those attending in person, lunch will be provided by CCDC. Please list any dietary restrictions you have.

None

Vegetarian

Vegan

Kosher

Gluten-free

Other:

I need the following accommodation to attend and participate in the class: *

I need a sign language interpreter. (The agency CCDC contracts with to hire interpreters requires 48 hours notice to avoid a cancellation fee. Please help us keep costs down by letting us know as soon as possible if you have to cancel your registration.)

I use a mobility device (wheelchair, scooter, or other.)

I will have a service animal with me.

I will have an attendant with me.

I need technical computer help to participate remotely. (Please let us know as soon as possible so that an IT person can make arrangements to assist you.)

None

Other:

Required

Registration fee option *

I will waive my registration fee and commit to volunteer with CCDC 10 hours within the next 6 months.

I will pay the $150 registration fee ($75 for 2nd applicant from the same organization).

I will pay the registration fee but would also like to be contacted as a volunteer.

I"m not sure. Can you please contact me directly so that you can help me decide.

Never submit passwords through Google Forms.

This form was created inside of Colorado Cross-Disability Coalition. Report Abuse - Terms of Service

Forms