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Office of Regional Operations Region 3 Registration Form for Convenings of Faith-Based and Non-Governmental Organizations

ICR 202606-0970-009 · OMB 0970-0617 · Object 169936500.

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File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title	Office of Regional Operations Region 3 Registration Form for Convenings of Faith-Based and Non-Governmental Organizations
Author	Sawyer, Chad (ACF)
Last Modified By	Writer
File Modified	2024-01-10
File Created	2026-06-17
Conversion State	complete

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Office of Regional Operations Region 3 Registration Form for Convenings of Faith-Based and Non-Governmental Organizations


Please complete the form below:

Name:
Email: 
Mobile Phone Number: 
Organization: 
Photo Consent (reply "YES" only if you consent to your likeness being used in the convener's reports):

Special Accommodations (such as physical accommodations or food allergies):