OMB Control Number: 0970-0617
Expiration date: 09/30/2026
OCC Regional Meeting: Registration Questions
Meeting Registration
All fields followed by * are required.
Please select your role at this event. * (drop down list)
Federal Employee
State CCDF Administrator
Territory CCDF Administrator
State CCDF Staff Member
Territory CCDF Staff Member
OCC National Center TA Staff (drop down list)
Child Care Automated Reporting System (CARS)
Child Care Meeting Management Center (CMC)
Child Care State Capacity Building Center (SCBC)
Data and Information Systems Consultation Center (DISCC)
National Center on Afterschool and Summer Enrichment (NCASE)
National Center on Early Childhood Quality Assurance (NCECQA)
National Center on Subsidy Innovation and Accountability (NCSIA)
National Early Care and Education Workforce Center (ECE Workforce Center)
National TA Center for Preschool Development Grants Birth through Five (PDG B-5 Center)
Tribal Child Care Capacity Building Center (TCBC)
Other
Please specify ______________
National Organization
Invited Presenter or Guest
Other
Please specify ______________
Contact Information
First Name *
Last Name *
Title/Position *
Division/Department*
Organization *
City *
State *
ZIP Code *
Phone Number *
Email *
Emergency Contact Name
Emergency Contact Phone Number
Emergency Contact Email
OCC Region * (drop down list)
Region I (CT, MA, ME, NH, RI, VT)
Region II (NJ, NY, PR, VI)
Region III (DC, DE, MD, PA, VA, WV)
Region IV (AL, FL, GA, KY, MS, NC, SC, TN)
Region V (IL, IN, MI, MN, OH, WI)
Region VI (AR, LA, OK, NM, TX)
Region VII (IA, KS, MO, NE)
Region VIII (CO, MT, ND, SD, UT, WY)
Region IX (AS, AZ, CA, GU, HI, MP, NV)
Region X (AK, ID, OR, WA)
N/A
Do you require any special accommodations?
☐ Yes
Please Specify ______________
☐ No
Will you be attending the session on the Disaster Recovery Grants that were awarded due to Hurricanes Fiona and Ian on Monday, June 3rd at 1:30 p.m. (applies only to Florida, North Carolina, Puerto Rico, and South Carolina)?
☐ Yes
☐ No
Will you be attending the session for territories on Thursday, June 6th, and Friday, June 7th (applies only to the five territories)?
☐ Yes
☐ No
REGISTER
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Maria Hrabak |
File Modified | 0000-00-00 |
File Created | 2024-11-13 |