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Office of Child Care Regional Meeting Registration Questions

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleOffice of Child Care Regional Meeting Registration Questions
AuthorMaria Hrabak
Last Modified ByWriter
File Modified2024-02-22
File Created2026-06-17
Conversion Statecomplete
Extracted Text
OCC Regional Meeting: Registration Questions

Meeting Registration

All fields followed by * are required.
Please select your role at this event. * (drop down list)
    • Federal Employee
    • State CCDF Administrator
    • Territory CCDF Administrator
    • State CCDF Staff Member
    • Territory CCDF Staff Member
    • OCC National Center TA Staff (drop down list)
        ◦ Child Care Automated Reporting System (CARS)
        ◦ Child Care Meeting Management Center (CMC)
        ◦ Child Care State Capacity Building Center (SCBC)
        ◦ Data and Information Systems Consultation Center (DISCC)
        ◦ National Center on Afterschool and Summer Enrichment (NCASE)
        ◦ National Center on Early Childhood Quality Assurance (NCECQA)
        ◦ National Center on Subsidy Innovation and Accountability (NCSIA)
        ◦ National Early Care and Education Workforce Center (ECE Workforce Center)
        ◦ National TA Center for Preschool Development Grants Birth through Five (PDG B-5 Center)
        ◦ Tribal Child Care Capacity Building Center (TCBC)
        ◦ Other 
            ▪ Please specify ______________ 
    • National Organization
    • Invited Presenter or Guest
    • Other 
        ◦ Please specify ______________ 

Contact Information
First Name * 
Last Name *
Title/Position *
Division/Department*
Organization *
City *
State *
ZIP Code *
Phone Number *
Email *
Emergency Contact Name	
Emergency Contact Phone Number 
Emergency Contact Email
OCC Region * (drop down list)
    • Region I (CT, MA, ME, NH, RI, VT)
    • Region II (NJ, NY, PR, VI) 
    • Region III (DC, DE, MD, PA, VA, WV)
    • Region IV (AL, FL, GA, KY, MS, NC, SC, TN) 
    • Region V (IL, IN, MI, MN, OH, WI)
    • Region VI (AR, LA, OK, NM, TX)
    • Region VII (IA, KS, MO, NE)
    • Region VIII (CO, MT, ND, SD, UT, WY)
    • Region IX (AS, AZ, CA, GU, HI, MP, NV)
    • Region X (AK, ID, OR, WA)
    • N/A

Do you require any special accommodations? 
☐ Yes
Please Specify ______________
☐ No

Will you be attending the session on the Disaster Recovery Grants that were awarded due to Hurricanes Fiona and Ian on Monday, June 3rd at 1:30 p.m. (applies only to Florida, North Carolina, Puerto Rico, and South Carolina)?
☐ Yes
☐ No

Will you be attending the session for territories on Thursday, June 6th, and Friday, June 7th (applies only to the five territories)?
☐ Yes
☐ No