Attendees AttendeePlease fill out the information below if you plan on attending the NAACFRC Conference.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Registration Information Preferred Prefix (Dr., Mr., Mrs., etc.)Full Name *Degree(s) / Credential(s)Preferred PronounsShe/herHe/himThey/themRelevant Administrative Title(s), Department(s) *Relevant Academic Title(s), Department(s) *Institution / Organization *Meal & Dietary Restrictions YesNo If yes, please specify dietary restrictions.AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Phone *Networking OpportunitiesPlease provide your social media handles on the following platforms. Fill out at least one.Twitter / XFacebookLinkedInOtherSeparate multiple by commas.Registrant ProfileAgency Type *BusinessNonprofitGovernmentFoundationCommunityEducationResearchPolicyOther If other, please specify.Are You A Community-Engaged Participatory Researcher? *YesNoCan We Include You In Our National Researcher Database? *YesNoDisclaimer: Your contact information and research interests will be available on our public NAACFRC websitePlease Indicate Your Primary Area(s) Of Interest: *TANF / Poverty AlleviationEarly Care & EducationFatherhood / Family DynamicsOther (Please Specify) If "Other", please specify.Have You Previously Attended This Conference? *YesNoHow Did You Hear About This Conference? *University ColleagueOrganizational PartnerNewsletter / EmailFacebookInstagramLinkedInWebsiteOtherPlease choose at least one. If "Other", please specify.Would You Like To Receive Regular Communication (Newsletters / Emails) From The National African American Child & Family Research Center? *YesNoParticipation OpportunitiesClick Here For The Agenda.Morning Breakout Sessions *Community-Engaged Research in Early Care and Education & Economic MobilityCommunity-Engaged Research in Poverty AlleviationNAACFRC 2024-2025 Community Pilot Project Program ShowcaseChoose the breakout session you are attending.Afternoon Breakout Sessions I *Community-Engaged Research in Economic Self-Sufficiency & FatherhoodNAACFRC 2024-2025 Emerging Scholars ShowcaseCommunity-Engaged Research on Early Care and Education & FatherhoodChoose the breakout session you are attending.Afternoon Breakout Sessions II *Community-Engaged Research in Early Care and EducationCommunity-Engaged Research in Mental Health and Early Care and EducationParent-Led Research in Early Care and EducationChoose the breakout session you are attending.Submit
