Waiver Request Form: Community-Based Non-Profit Practitioner

Registration Waiver Request Form: Community-Based Non-Profit Practitioners

Who should complete this form? Only community-based, non-profit practitioners who: 1) have been accepted to present at the conference AND 2) work in Metropolitan New York are eligible for a waiver. Faculty members are not eligible for a waiver.
- Name
  
  First NameLast Name
- Email
  example@example.com
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Place of Employment (Community-based, non-profit organization)
- County Where You Work
- Professional Title
- Organization Web Address
- Upload evidence of eligibility
  
  (e.g. employment letter, redacted pay stub, screenshot of staff listing on website, etc.)
  Cancelof
- Submission ID
- Title of Presentation
- Should be Empty:

Registration Waiver Request Form: Community-Based Non-Profit Practitioners