2018 QRIS Registration

QRIS National Meeting

The Sheraton San Diego Hotel and Marina
July 16–18, 2018 in San Diego, CA

Please fill in ALL of the following information in order to register for the meeting.
This information should reflect the appropriate contact information for the actual conference attendee only. This information will be published in the participant list that will be provided to all conference attendees.
REGISTRATION INFORMATION:
Name*
First Last
Preferred nametag name (if different than First Name)
Organization or Company Name*
Title*
Address
Address*
Address Line 2
City*
State / Province / Region*
ZIP / Postal Code*
Contact information
Phone Number*
Email Address - Conference Attendee email addresses only!*
Enter Email Confirm Email
Optional Secondary Email address – for administrative assistant’s email address, if desired
Enter Email Confirm Email
Emergency Contact - Name
First Last
Emergency Contact - Phone
MEALS:
The following meals will be provided during the conference.
Please mark the meals that you will be attending.
Monday, July 16
- Sponsors Reception
Tuesday, July 17
- Continental Breakfast
- Lunch
Wednesday, July 18
- Continental Breakfast
Please list any special dietary needs you require here:
Do you have any other special needs that we should be aware of (i.e. handicap accessible, hearing impairment, language translation, etc.):
ADDITIONAL INFORMATION:
While the information below is not required, we would appreciate your sharing this information with us as part of BUILD's commitment to equity. This request is designed to assure that we are assembling teams of leaders in each state that meet our goals for emerging and current leaders that represent the diversity of each state.
Age Range:
- 20-30
- 31-45
- 46-60
- Over 60
What is your gender?
Race/Ethnicity:
- Latino/Hispanic
- Asian alone
- White alone
- Black or African American alone
- American Indian or Alaska Native alone
- Native Hawaiian or other Pacific Islander
- Two or more races
- Other
Please briefly describe your state and/or community-level early childhood systems-building experience. If you work at the community level, please share whether you are from a rural or urban region.
Level at which you currently work:
- National Level
- State Level
- Regional Level
- Community Level - Urban
- Community Level – Suburban
- Community Level – Rural
Primary Focus:
- Early Childhood Systems
- Heath and/or Mental Health
- Early Learning
- Family Support
- Child Welfare
- Transportation
- Early Intervention
- K-12 Education
Highest degree or level of school you have completed:
- High school graduate or equivalent
- Junior College or Technical College Degree
- Bachelor’s Degree
- Master’s Degree
- Professional Degree
- Doctoral Degree
What is a pressing area of concern/interest regarding QRIS-related topics that you would most like to discuss or learn about as part of the QRIS meeting?
PAYMENT INFORMATION:
2018 Registration categories and fees:
Early Bird: $350.00 (ends at 8:00 pm Eastern on March 30)
Regular: $500.00 (ends at 8:00 pm Eastern on June 15)
Late: $750.00 (ends at 8:00 pm Eastern July 9)

REFUNDS:

Requests for refunds must be submitted no later than March 31, 2018.
Please note that no refunds will be provided after March 31, however, substitutions will be allowed.
QRIS Meeting Registration*
- Full Conference ($750.00)
to see full session descriptions, click on the Agenda tab at the top
(If you are planning to attend a pre-conference session, and you have picked the Full Conference registration above, please pick ONLY ONE of the following pre-sessions.)
- 202. Maximizing CCDF Impact for Infants and Toddlers
- 209. Not All Directors Are the Same: What Research Indicates about Developmental Stages, How to Individualize Technical Assistance, and the Impact on QRIS
- 210. Successfully Utilizing e-Learning in Early Childhood Quality Improvement
- 236. Shaping a More Unifying and Sustainable: A QRIS Hackathon with NAEYC and QRIS Experts
- 247. EarlyEdU Alliance and QRIS: Alliance State Strategies to Support Quality and Pathways to Degrees
- 264. QRIS 101: Everything You Wanted to Know About QRIS but Were Afraid to Ask
- 316. Think of This as a Mini-Retreat to Ignite (or Re-ignite) Your SPARK as a Leader!
- 320. From Spark to Flame to Fireworks: Ignite Individual Insight, Collaborative Inquiry, and Strategic Action using Data as a Catalyst
- 341. Reframing Family Engagement in the Early Childhood Classroom, Program, & System
- 358. Marketing and Outreach: Strategies, Tactics and Stunts that Increase Provider Participation and Family Awareness
- 379. Integrating a Cross Sector Approach for Building Resiliency in Infants, Toddlers and Caregivers
- 401. QRIS Research Roundup
- 407. How Do We Know What’s Working: Embracing Data & Assessment in State Expulsion Prevention Strategies
- 410. Racial Equity and Early Childhood: Building Equitable Systems 101
- none
Coupon

Enter coupon and click apply.
Total Amount Now Due:
$0.00
( Scroll to bottom of page to submit registration )
Payment Method*
- Credit Card
- Check
- Purchase Order
PO Number
We strongly prefer payment by credit card. If you need to pay via check, please print your confirmation form and mail it along with your check. Checks must be received no later than 30 days following registration. Please email dara@promeetingmanagement.com if this is not possible.

Please make checks payable to: TSNE MissionWorks / 89 South Street / Suite 700 / Boston, MA 02111

Mail your check and confirmation to: Pro Meeting Management / 3219 Anric Drive / Eau Claire, WI 54701
We strongly prefer payment by credit card. If you need to pay via check, please print your confirmation form and mail it along with your check. Checks must be received no later than 30 days following registration. Please email dara@promeetingmanagement.com if this is not possible.

Please make checks payable to: TSNE MissionWorks / 89 South Street / Suite 700 / Boston, MA 02111

Mail your check and confirmation to: Pro Meeting Management / 3219 Anric Drive / Eau Claire, WI 54701
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
"All credit card payments are being processed through a private PayPal secured portal and will appear on your credit card statement as "BUILD Initiative/Third Sector New England."
CONFIRMATION:
Image Release:
BUILD Initiative uses images of conference events in its promotional materials. By registering for and attending the conference, conference attendees agree to the use of their likeness in such materials. If you have any questions or concerns related to image usage, please contact Mariana Florit at mflorit@buildinitiative.org.
Please wait for a confirmation message after you click the "SUBMIT" button, as there will be a small delay before your registration is confirmed. A confirmation will also be EMAILED to you, once you have completed your registration.
QUESTIONS:
If you have questions regarding any of the information listed here, please contact:
Dara Piltz
Pro Meeting Management
715.577.5571
dara@promeetingmanagement.com

2018 QRIS Registration

QRIS National Meeting

The Sheraton San Diego Hotel and Marina July 16–18, 2018 in San Diego, CA

REGISTRATION INFORMATION:

Address

Contact information

MEALS:

ADDITIONAL INFORMATION:

PAYMENT INFORMATION:

CONFIRMATION:

The Sheraton San Diego Hotel and Marina
July 16–18, 2018 in San Diego, CA