Conference Registration
 
Registration Information:
First Name: Last Name: Middle Initial:
  Email:    
   
Past Board Member?
Dates Served/ Position (optional)
Past Chapter President ?
Dates Served/ Position (optional)
ACA Member?
Employed In Criminal Justice Field? Federal Employee?
State Agency? Local Agency?
Private Sector? Other Agency?
How Many Years Attended A NABCJ National Conference:
Address:
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State:
Zip:
Country:
Telephone:
 
Please Enter Name As You Wish It To Appear On Your Conference Badge
 
Are You Affiliated With A Local Chapter? Enter Chapter Affiliation:
 
 
Agency Affiliates:
Community Education Centers/Tooley Hall
Voting Member: 
Kara Y. English
Denver, CO
(Since 2007)
 
Caribbean Corrections Connection
Voting Member: 
Margaret Harding, President
Philipsburg, PA
(Since 2007)
 
National Action Network
Voting Member:
Reverend Al Sharpton
106 W. 145th Street
Harlem, New York 10039
(Since 2007)
   Community Education
Centers/Tooley Hall
Kara Y. English
Denver, CO
(Since 2007)
 
 
Organization Affiliates:
NYS Minorities in Criminal Justice
Voting Menber:
Reverend Les Carter
P.O. Box 5062
Albany, New York 12205		   National Alliance of Faith and Justice
Washington, DC

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