Online Workshop Registration
UNITED WAY OF GREATER LAFAYETTE
1114 STATE STREET ::  LAFAYETTE, IN 47905
PHONE (765) 742-9077 :: FAX (765) 742-9079
  UNITEDWAY@UW.LAFAYETTE.IN.US
    
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First & Last Name Email

Organization 

Org. Address Phone

City   State    Zip    County

Please Note:  A registration form must be filled out for each attendee

If you are registering for the entire series please check here:

If you are registering for individual workshops indicate the workshop(s) and date(s):

Workshop:Date:

Workshop:Date:

Workshop:Date:

Question 1: Please describe your interest in this continuing education series
and what you hope to get out of it:







Question 2: Please list your current and past Board commitments:







Question 3:  If you are selected for this program, what commitment are
you willing to make toward future Not-For-Profit governance?








Emergency Phone (Home or Cell) in case of cancellation:






Selection Process
Your application will be reviewed and you will soon receive confirmation of your eligibility to attend.


To register for the 2009 Not-For-Profit Governance Series please fill out the form below and click submit.
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