One moment please...

UMOJA: Serving Survivors at the Intersection of Disability & Race

Wednesday, December 15, 2021
1:00 pm - 2:30 pm

Virtual

MCEDSV non-members are welcome and invited to attend.

This is a free training.

Step One
Your Registration Information

Name *

First Name

Last Name

Name prefix or suffix? i.e. professional credentials or degrees earned; for example: JD, LMSW, and PhD.

This includes professional credentials or degrees earned; for example: JD, LMSW, and PhD.

Do you go by a nickname? (This will be printed on your name tag and all event lists and reports).

Your contact information & other stuff we need to know :)

Your Email: *

Thank you for double-checking accurate entry. If your email address is entered with typos, unfortunately, you will miss important event-related details and messaging from us :(

Verify Email *

Your Position/Title: *

Full Organization/Agency Name *

Thank you for providing the full organization name, (and acronyms are ok too). Please do not abbreviate or enter an incomplete organization name.

Organization/Agency Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Do you have accessibility support needs or requests? Please share...

UMOJA: Serving Survivors at the Intersection of Disability & Race

Step One
Your Registration Information

Your contact information & other stuff we need to know :)

Almost done!

To ensure your registration goes through, click "Submit" below.

UMOJA: Serving Survivors at the Intersection of Disability & Race

Step OneYour Registration Information

Your contact information & other stuff we need to know :)

Almost done!

To ensure your registration goes through, click "Submit" below.

Step One
Your Registration Information