Registration: Offering Tailored Technical Assistance as a Knowledge Translation Strategy

Thank you for your interest in the KTER Center webcast on Offering Tailored Technical Assistance as a Knowledge Translation Strategy.
This webcast will take place from 2-3:00 PM Central (3-4:00 PM Eastern) August 30th, 2016

1. Contact Information:

First Name

Last Name

Organization (or N/A)

Email Address *This question is required. This question requires a valid email address.

Daytime Phone Number
(Your phone number will only be used if contact by email is unsuccessful) This question requires a valid number format.

2. Copy of Contact Information:

First Name

Last Name

Organization (or N/A)

Email Address *This question is required. This question requires a valid email address.

Daytime Phone Number
(Your phone number will only be used if contact by email is unsuccessful) This question requires a valid number format.

3. Are you affiliated with the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR), or a NIDILRR-funded project?

If you are a NIDILRR grantee, please list your primary project(s).

4. CART Captioning and a text description of the presentation PowerPoint will be available for this webcast. Do you have additional accessibility requests? If yes, we will email you shortly after receiving your registration.

Please enter an 'other' value for this selection.