1.First Name

2.Last Name

3.Email

4.Which session will you attend?

5/5 – 10:30 a.m. to 12:30 p.m. 
Southern State Community College Community Room 1270 US Route 62 SW

5/5 – 2:00 p.m. to 4:00 p.m.
Southern State Community College Community Room 1270 US Route 62 SW

5/7 – 10:00 a.m. to 12:00 p.m..  
Southern State Community College Community Room 1270 US Route 62 SW

5/7 –  1:00 p.m. to 3:00 p.m.  
Southern State Community College Community Room 1270 US Route 62 SW

5/7 – 5:00 p.m. to 7:00 p.m.
Community Action Commission of Fayette County
1400 US Route 22 NW

5.Select all that apply

Court

Law Enforcement

Elected Official

Government Employee

Education

Low Income

Medical Professional or health care

Faith-based

Business

Youth

Parent

Media

Civic/Volunteer Groups

Mental Health Agency

Substance Abuse Agency

Program participant

Funder

Donor

Volunteer

Board Member

Community Member

Caregiver for the elderly