NEC Event/Training Registration
Name of the event you are registering to attend:
If it says "##ERROR##" above, the link used was incorrect. Please contact nec@perkins.org.
Date of Event/Training:
If the the event/training date displays as ##PASTDATE##, the registration link is no longer valid, please contact nec@perkins.org for an updated event link.
I am registering as a
(required)
Please select...
Parent/Guardian/Caregiver
Administrator/Agency Admin
Early Interventionist Developmentalist
Medical Personnel
Paraprofessional/Intervener
Referring Professional
Service Provider
Social Worker
Student
Speech Language Pathologist
Regular Ed. Teacher
Special Ed. Teacher
Teacher of Orientation & Mobility
Teacher of the Visually Impaired
Other Educator
Other Professional
First Name
(required)
Last Name
(required)
Title
Email
(required)
Valid email address required. Event information will be sent to this email.
Phone Number
State
(required)
Please select...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Island
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Do you require ASL Interpreter?
(required)
Please select...
Yes
No
Do you require a CART Interpreter?
(required)
Please select...
Yes
No
Yes, I'd like to receive updates about NEC.
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If you have any issues completing the form, please contact us at nec@perkins.org or call 617-972-7517