Hosted by the Vocational Rehabilitation Technical Assistance Center for Quality Employment

Registration

In order to register you need to be logged in:
Please create an account or log in.

You are registered! Thank you!

Participant Name(Required)

First Last

Participant email address(Required)

Enter Email Confirm Email

Organization:

State/Territory(Required)

State (Other)(Required)

Are you attending in-person or virtually?(Required)

In-person

Virtually

Are you a student?(Required)

Yes

No

Do you have any dietary restrictions?

Do you need any accommodations?(Required)

Yes

No

Please describe accommodations needed below:

Preferred name for name badge(Required)

Would you like your pronouns listed on your name badge?(Required)

Yes

No

Please list your preferred pronouns:(Required)

Preferred Pronouns Other:

Name

This field is for validation purposes and should be left unchanged.