NACM Attendee Interest Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Court
*
Title
*
Years in current position
*
Years in court system
*
Positions with DMCMA (past and current)
Have you attended a NACM conference as a DMCMA representative
Please Select
Yes
No
What year(s) did you attend as a DMCMA representative
NACM Conference Location/Dates
*
If I am approved to attend the NACM Conference as the Education Committee's representative, I understand that I will be required to attend all sessions in person. I am also committed to providing a detailed report during the Education Committee meeting following the event.
Signature
*
Thank you for considering my request. I look forward to your response.
Submit
Should be Empty: