Mi Response To Hate: 2017 Conference

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Use this form to register for the 10th Annual Mi Response To Hate: 2017 Conference - September 6, 2017.
We are currently running a wait list.

As cancellations occur we will send announcements for those with pending registrations but probably not
until September 1, 2017, so please stay tuned.

First Name *

Last Name *

Job Title *

Organization *

Email Address *

Please verify your email address - we will use this for your confirmation message and important updates.

Address *

Address 2

City *

State *

Zip/Postal Code *

Telephone Number *

Best number to reach you should email not work

I will attend the following sessions *

Full Day (Morning Plenary/Luncheon/Afternoon Plenary)

Morning Plenary Only

Luncheon and Afternoon Plenary

Afternoon Plenary Only

I am interested in the following MORNING workshop *

Use this option to select the MORNING workshop you want to participate in

“Dangerous Speech Project” - Tonei Glavinic

“A Statewide Initiative to Create Safe and Supportive Schools for LGBTQ Students” - Tracy Hobbs

"Hate Crimes and the Predatory Mind" - Dr. Matt Logan

"About Face: Turning Away from Hate Training” – Yohance Pettis

I will not be attending a MORNING Workshop

I am interested in the following AFTERNOON workshop *

Use this option to select the AFTERNOON workshop you want to participate in

“Dangerous Speech Project” - Tonei Glavinic

“The Alt-Right and the 21st Century Militia Movement” - Dr. Randy Blazak

"Hate Crimes and the Predatory Mind" - Dr. Matt Logan

"About Face: Turning Away from Hate Training” – Yohance Pettis

I will be unable to stay and attend an AFTERNOON Workshop

Which occupation(s) best describe your connection to the conference?

Government Operations (local/county, state, tribal, federal)

Law Enforcement

K-12 Education

Higher Education

Advocate (issue/cause, targeted population, victim/witness)

Criminal Justice Professional

Real Estate (brokerage, sales, rental, maintenance, development)

Emergency Management

Student (K-12/Higher Ed)

Social Work/Mental Health

Healthcare

Religious (professional or institutional representation)

I have dietary restrictions/allergies or will need a reasonable accommodation to attend *

Please use the Remarks section below to let us know how we can be more accommodating...

Yes

Remarks

Please indicate your dietary restrictions/allergies or requested reasonable accommodation(s) here.

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