Register here for the RAISE Summit on Transition and Beyond!

Please complete the following information regarding your participation at the RAISE Summit. The National Resources for Access, Information, Self-determination, and Employment (RAISE) Summit will take place on September 18th (from 9am to 4pm) and September 19th (from 9am to 5pm) at the Hilton Meadowlands in East Rutherford, New Jersey. The RAISE Advisory Partnership meeting will take place on September 17th (from 5pm to 8pm). The RAISE Technical Assistance Center will cover the cost of travel and single room hotel accommodations for one person from each RSA-PTI Center. There is no cost for registration for additional participants. However, your center must pay for their travel and accommodations. Please contact Heather Nelson at Allure Travel to set up your flight arrangements at (719) 635-2963 or email at heather_nelson@alluretravel.com. Hotel room reservation deadline is August 11th. Also, if you are planning to attend the Parent Center Boot Camp on September 19th and 20th, you must register at: http://tinyurl.com/CPIR-Boot-Camp-registration.

First Name*

Last Name*

Parent Center Name*

Your E-mail address:*

Office Phone:*

Mobile Phone:*

What 3 takeaways do you hope to get at the Summit?

Please let us know what information and/or skills you hope to gain during your time with RAISE and your RSA-PTI colleagues.

Would you like RAISE to cover your travel?*

Note: The RAISE Center will cover travel and accommodations for only ONE RSA-PTI representative.

Select or enter value

Please let us know your travel plans.

If your travel costs will be covered by RAISE, you will receive further instructions on making flight arrangements, when you submit this information.

Your Date of Arrival?

Your Departure Date

Any Special Accommodations/Dietary restrictions?

Please list any special accommodations or dietary restrictions here.

Are you planning to attend the RAISE Advisory Partnership meeting on September 17?*

Yes, I have registered

Yes, I have not registered yet

Undecided

For further information or assistance:

Please contact Maria Rodriguez, mrodriguez@spannj.org, 862-214-2813

Send me a copy of my responses

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