2014 City Hall 201 – Registration form

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Workshop Registration
City Hall 201: Advocacy in Action
Friday, October 31, 2014, 9:30 am–1:00pm
Name:
Title:
Organization:
Email Address:
Phone:
Explain briefly why you are interested in attending this workshop and what you hope to learn from
this session. Include any specific questions you have:
Provide 2-3 sentences on a campaign which you are currently coordinating. Possible details could
include the campaign name, goals, policy asks, and community represented.
Which foundation(s) currently funds your organization:
 Korean American Community Foundation
 Mertz Gilmore Foundation
 New York Foundation
 New York Women’s Foundation
 North Star Fund
 Scherman Foundation
 Stonewall Community Foundation
 Union Square Awards
The space in this workshop is limited and will be assigned on a first-come-first-served basis. The
Korean American Community Foundation, Mertz Gilmore Foundation, New York Foundation, the New
York Women’s Foundation, North Star Fund, Scherman Foundation, Stonewall Community Foundation,
and Union Square Awards are co-sponsoring this training so you must be registered to attend. Only
one representative from each organization is invited to attend. Your registration will be
confirmed by email.
Your registration is a commitment that you or someone from your organization will attend
the entire workshop. If circumstances change and no appropriate person from your organization is
able to participate, please notify Isabel Rivera at (212) 594-8009 at The New York Foundation as
quickly as possible so we can make the space available to someone from the waiting list. Please
submit this form to Isabel Rivera by fax at (212) 594-5918 or by email to irivera@nyf.org.
DEADLINE FOR REGISTRATION IS: Friday, October 24, 2014
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