First Name

Last Name

City

State

Zip Code

Country

Email

Phone Number

Please indicate your current role

Are you working with your state association during AEFL week?

How many adult learners does your program serve annually? (Enter 0 if unknown)

Please indicate which sessions you plan to attend: (Please select all that apply)

9/18 at 11:00 am ET

Kickoff AEFL Week with COABE!

9/19 All Day

Twitter Tuesday

9/20 at 2:00 pm ET

Legislative Champion Awards

9/21 All Day

Legislative Briefing

9/22 at 2:00 pm ET

Fab Friday with the Fellows on Facebook

Please indicate the ways you are engaging: (Please select all that apply)

Utilize social mediaParticipate in Twitter stormJoin the programming throughout the weekHave my students use Ignite software to contact their legislatorsAsk my school to post AEFL week on the school's marqueeOther (please specify below)

Other (please specify if selected above)

Attach a video or graphic that we can edit and push out for AEFL week. If you have any issues sending in your file you can also email them to media@coabe.org.

Video Attachment

Share your social media handle(s) with us so we can be sure to tag you!

Instagram Handle

Facebook Username

Twitter Handle