2017 WPS Registration

Welcome to the registration for the 2017 Washington Policy Seminar (WPS)!

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

PLEASE NOTE: This survey will only register you for WPS and does NOT include room reservations. All hotel reservations must be booked separately. Upon registering for WPS, you will be able to make hotel reservations at either Fairmont Hotel (where WPS will be hosted) or Melrose Hotel (2 blocks from Fairmont). Separate passkeys are available to place your reservation.

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. Preferred Phone Number

12. Twitter handle (e.g., @yourname)

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

14. What is your affiliation to EPFP? *This question is required.

Please enter an 'other' value for this selection.

15. 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.

16. We plan to offer some optional pre-conference activities for Fellows. Rank the options below in order of your interest. Additional information about pre- and post-conference activities will be shared with you soon. *This question is required. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.

Pre-conference (Sunday morning): Martin Luther King, Jr. Memorial
Pre-conference (Sunday morning): Franklin D. Roosevelt Memorial
Pre-conference (Sunday morning): Lincoln Memorial
Pre-conference (Sunday morning): Kennedy Center tour
I'm not interested

17. We plan to offer some optional post-conference activities for Fellows as well. Below are potential activities we may offer. Please rank the options below in order of interest to you. Additional information about pre- and post-conference activities will be shared with you soon. *This question is required. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.

Post-conference (Wednesday afternoon): Local school visit
Post-conference (Wednesday afternoon): U.S. Department of Education visit
Post-conference (Wednesday afternoon): Think tank visit
Post-conference (Wednesday afternoon): National organization visit
I'm not interested

18. Do you have any dietary restrictions? Please select all that apply. *This question is required.

I do not have any dietary restrictions
Vegetarian
Vegan
Gluten-free
Lactose intolerant
Food allergy (please specify) Please enter an 'other' value for this selection. * This question is required.
Other (please specify) Please enter an 'other' value for this selection. * This question is required.

19. Please note any additional comments, special accommodations, or considerations you would like us to be aware of.

PLEASE NOTE: This survey will only register you for the Washington Policy Seminar and does NOT include room reservations. Rooms are available at the Fairmont Hotel, where WPS will take place, and at the Melrose Hotel. Reservation links will be provided to you once you complete this registration form.