2024 Grant-Seeker Academy PD Workshop Registration Grant-Seeker Academy Workshop Registration May 29 – 31, 2024 ¤ Embassy Suites DFW Airport South 2024 Grant-Seeker Academy Workshop Registration Name * <b>Name</b> First First Last Last Title * College * Role on Grant-Seeker Team * Team LeadFacultyGrantsOther <b>Role on Grant-Seeker Team</b> Proposal Program Focus * Max 20 characters Address * <b>Address</b> <b>Address</b> <b>Address</b> City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Email * Confirm Email * Mobile Phone * Hotel arrival date * Hotel departure date * Dietary restrictions: Photo/Video Release * I hereby grant CORD permission to use my likeness in a photograph, video, or other digital media (“photo”) in any of its publications, including digital publications, without payment or other consideration. I understand and agree that all photos will become the property of CORD and will not be returned. Submit If you are human, leave this field blank. Skip back to main navigation