Housing Training (Feb.19-20, 2009) Tampa, FL

Answer questions as they relate to you. For most answers, check the boxes most applicable to you or fill in the blanks. Please be sure to have your program's approval to attend this training before submitting an on-line registration. Registrations received on-line are assumed to have been approved by your program.

The Housing Training will be held at the Embassy Suites Hotel -USF/Busch Gardens, 3705 Spectrum Blvd, Tampa FL, Thursday-Friday, February 19-20, 2009. You will be responsible for making your own hotel reservations (see Recommended Hotel Accommodations section below) Hotel reservations must be received by JANUARY 19, 2009.

If you have any questions please contact Kathy Grunewald or Sharon Ferguson at the email addresses or telephone numbers listed below.

Thank you.

Kathy Grunewald
Statewide Director of Training
Florida Legal Services, Inc.
kathy@floridalegal.org
(850) 385-7900

Sharon Ferguson
Training Coordinator
Florida Legal Services, Inc.
sharon@floridalegal.org
(904) 768-8561

Please provide the following (*required)

First Name*

Last Name*

Email*

Program Information

1.	Legal services/Legal Aid program name (Please provide program's full name, DO NOT use acronyms)

2.	Program Mailing Address

3.	Phone Number

4.	Fax Number

General Information

Your role

	Advocacy - Attorney: Staff Attorney (Senior - 3 or more years experience)
	Advocacy - Attorney: Staff Attorney (Junior - 0 to 3 years experience)
	Advocacy - Attorney: Director
	Advocacy - Attorney: Supervising Attorney
	Advocacy - Paralegal (Senior - 3 or more years experience)
	Advocacy - Paralegal (Junior - 0 to 3 years experience)
	Administration - Executive Director
	Administration - Deputy Director
	Administration - Managing Attorney
	Pro-Bono Attorney (Private)
	Summer Fellow
	Support Staff - Legal Assistant
	Other:

6.	List your YEARS in practice:

7.	List your YEARS in legal aid (including with your CURRENT organization):

8.	Supervisor Name: (Supervisor information is for logistic purposes only.)

9.	Supervisor Job Title

10.	Supervisor Phone

11.	Supervisor Email

12.	Supervisor Address (leave blank if address is the same)

13.	List Your PRIMARY Area of Expertise:

	Child Advocacy
	Consumer Law
	Civil Rights
	Dependency
	Domestic Violence
	Environmental
	Employment Law
	Family Law
	Health Law
	Housing Law
	Immigration Law
	Juvenile Law
	Litigation
	Mental Health
	Public Benefits Law
	Senior Law
	Special Education
	Other

14.	List Your SECONDARY Area of Expertise:

	Child Advocacy
	Consumer Law
	Civil Rights
	Dependency
	Domestic Violence
	Environmental
	Employment Law
	Family Law
	Health Law
	Housing Law
	Immigration Law
	Juvenile Law
	Litigation
	Mental Health
	Public Benefits Law
	Senior Law
	Special Education
	Other

Recommended Hotel Accommodations

A rooming block has been reserved at the Embassy Suites-USF/Busch Gardens, Tampa, FL. Reservations can be made by calling (813) 977-7066 and asking for the Reservations Department. To receive the group rate, you must identify yourself as part of FLORIDA LEGAL SERVICES (master account name). Room rates are between $127.00 - $157.00 per night, depending on occupancy. Reservations must be made by JANUARY 19, 2009. Reservations made after this date will be accepted on a space available basis.

All hotel rooms will be master billed to Florida Legal Services. FLS will then in turn, invoice your program. A credit card will be needed at check -in to cover incidentals. NOTE: Cancellations made within (24) hours will incur a first night's room charge. This charge will be billed to your program.

Thank you

Please be sure you have provided a viable work email address, all future communications will be through emails.

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