Giving Circles - Educational Program 2

Tuesday, May 19 | 5:00 – 7:30 PM

UConn Hartford at 10 Prospect St. Hartford, CT

First Name*

Last Name*

Email*

example@example.com

Will you be attending this event?*

Yes, I'll be thereNo, I'm not able to make it

To comply with the Greater Hartford Gives Foundation obligations as a registered lobbyist with the Connecticut Office of State Ethics, please complete the information:

Please select one of the following options:*

I am a current Connecticut public officialI am a current Connecticut State employeeI am an immediate family member of a current Connecticut public official or State employee. (defined as a spouse, child, or dependent relative who lives in the household).None of the above

The Foundation is obligated to collect the following information for public officials, state employees, and their immediate family members.

State of CT Email

example@example.com

Agency/Department

Job Title

Register Another Attendee

Attendee 2 Name*

First NameLast Name

Attendee 2 Email*

example@example.com

To comply with the Greater Hartford Gives Foundation obligation as a registered lobbyist with the Connecticut Office of State Ethics, please complete the information below.

Please lets us know if the person you are registering is a:*

I am a current Connecticut public officialI am a current Connecticut state employeeI am an immediate family member of a current Connecticut public official or state employee. (Defined as a spouse, child, or dependent relative who lives in the household.)None of the above

State of CT Email

example@example.com

Agency/Department

Job Title

Photos and video will be taken during the event for use by the Foundation in its publications and on its website.