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The Basic Course Registration
Please fill out all required fields.
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I am registering as a/an
*
Alumni Participant
Scholarship Recipient
Course Auditor
What year(s) did you attend The Basic Course?
*
Who is your scholarship sponsor?
*
Who invited you to audit the course?
Name
*
First
Last
Email
*
Secondary Email (optional)
i.e. admin or assistant's email
Occupation (check all that apply)
*
Economic Development
Government
Business
Student
Retired
Other
Other Occupation
Title
*
Business / Organization / School
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
This address is my
*
Business Address
Home Address
Mobile Phone
*
Secondary Phone (Optional)
i.e. admin or assistant's phone
How will you be participating?
*
In-person
Virtual
Will you be staying as a hotel guest?
Yes
No
How did you find out about our course?
*
IEDC - International Economic Development Council
Local Council of Government / EDO
Online Search
Referred by Friend or Colleague
Print Ad / Article
LinkedIn
Other
Other Source
Name of Friend / Colleague who referred you
Why are you taking this course?
What course topics are of highest importance or interest to you?
Submit
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