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2015 WPS Registration

Welcome to the registration for the 2015 Washington Policy Seminar (WPS)!

Please fill out the following questions to complete your registration for the event. All questions marked with an asterisk are required.

PLEASE NOTE: This survey will only register you for the event itself and does NOT include hotel reservations.

1. First Name *This question is required.

2. Last Name *This question is required.

3. Professional Title (e.g., superintendent, teacher, executive director, program manager) *This question is required.

4. Organization (please write "self-employed" if you are self-employed) *This question is required.

5. Preferred Mailing Address Line 1 *This question is required.

6. Preferred Mailing Address Line 2

7. City *This question is required.

8. State *This question is required.

9. Zip Code *This question is required.

10. Preferred Email Address *This question is required.

11. Profession/Type of Organization (please select ONE of the following) *This question is required.

Please enter an 'other' value for this selection.

12. What is your relationship to EPFP? *This question is required.

Please enter an 'other' value for this selection.

13. EPFP Site
Current Fellows and Site Coordinators: Please select your current EPFP site.
EPFP Alumni: Please select the site at which you participated in EPFP as a Fellow. If your site is not listed, please select "Other Site" and write in your EPFP site.
*This question is required.

Please enter an 'other' value for this selection.

14. Do you have any dietary restrictions (e.g., vegetarian, vegan, gluten free, food allergy)? *This question is required.

Please enter an 'other' value for this selection.

15. Please note any additional comments or considerations you would like us to be aware of.

PLEASE NOTE: This survey will only register you for the event itself and does NOT include hotel reservations. Hotel reservations for our room block at the Renaissance Washington, DC Downtown Hotel must be made by clicking here. You will receive a separate confirmation email from the hotel once you complete your room reservation.