2011 People in Need Forum Registration - In order to reserve enough materials for all attending individuals are ask to register before January 15. Groups must register each individual within their group. If you have questions about this form click here

Date(00/00/0000):    

First:   Last:  

Are you associated with an organization? If so what is the name?  

Address:  

City:   Choose one Alden Algonquin Bull Valley Cary Crystal Lake Fox River Grove Harvard Hebron Huntley Island Lake Johnsburg Lake In The Hills Marengo McHenry Richmond Ringwood Spring Grove Union Wonder Lake Woodstock Other Zip Code:   Choose one 60001 60010 60012 60013 60014 60021 60033 60039 60050 60051 60071 60081 60098 60142 60152 60156 Other Other city/zip:

Email address:

How did you hear about the Forum?   Choose one 105.5 Daily Herald Friend McHenry County College Northwest Herald People in need Email Pioneer Press School Tribune Volunteer Center Woodstock Independent Work Other If other, please tell us where:

I have attended:     Choose the best answer This is my first year at the Forum 1 Year 2 Years 3 Years 4 Years 5 Years More than 5 years

Help us indentify this years trends. Choose your top three areas of interest? (check only three)

Behavioral Health Resources

Consumer Credit Counseling

Domestic Violence Resources

Emergency Assistance

Government Programs (food stamps, etc.

Healthcare Services

Homeless Resources

Housing Resources

How to manage crisis

Legal Issues

Networking with local organizations

Resources for children/youth

Senior Resources

If you have attended the Forum before, please tell us the top reason you are returning:

 

What questions you would like to see addressed at People In Need Forum?

Check if you would like Continuing Education Units for this educational experience (there is a $10 fee)