Civic Engagement Summit

Gain the tools, training, and connections to strengthen your civic impact at home and beyond!

Friday, October 3, 2025 | 3:00P - 5:00P
Adam C. Powell Plaza, 163 West 125th Street, Harlem, NY 10027:

Get Out the Vote Registration Drive – An outdoor event with music, voter registration and look-up, and appearances from elected officials.

Saturday, October 4, 2025 | 9:00A – 5:00P
National Urban League Headquarters, 117 W 125th Street, Harlem, NY 10027

Main Summit Program – A full day of sessions, trainings, and networking opportunities across three key tracks:
- Community Organizing
- Campaign Strategy & Running for Office
- Comms Professionals & Influencers
Breakfast and lunch will be provided.
Date

MonthDayYear
Date
Which role best describes how you are showing up for this convening?*

Speaker / TrainerAttendeeStaff / Vendor
The National Urban League will book and cover your travel and up to 2 nights hotel. Will you require arrangements?

No, I do not need hotel or travel accommodations (but I will attend in-person)Yes, I would like hotel + flight accommodationsYes, I would like hotel + train accommodationsYes, I would like hotel accommodations ONLYYes, I would like flight accommodations ONLYYes, I would like train accommodations ONLY
The National Urban League will book and cover up to 2 nights hotel. Will you require arrangements?

No, I do not need hotel accommodations (but I will attend in-person)Yes, I would like hotel accommodations
The information you provide will be shared with our travel agency in order to accurately plan your travel. Please verify that this information matches your official government identification documents such as your passport or driver's license.

If you have any questions about hotel or travel, please contact Denise Cooksey at denise@truemarketingagency.com.
Name (As it appears on your ID):*

First NameMiddle NameLast NameSuffix
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Gender*

MaleFemaleOther
Date of Birth*

MonthDayYear
Date
Company / Organization*
Job Title*
Is there is anyone else (i.e. administrative assistant) who should be included on event communications? If yes, please enter their email address:*
Dietary preferences and/or restrictions*
Special accommodations that you require before or during the event (ADA accommodations, etc.)*
Please indicate which morning breakout session you plan to attend:*
Please indicate which afternoon breakout session you plan to attend:*
Please briefly describe one or two key takeaways or insights you would like after attending the summit:*
By attending the event, you consent to being filmed, photographed, and otherwise recorded, including, your voice, sounds, likeness, image, photograph, other picture (still or motion), performance, action, and/or appearance. You understand and agree that these materials will become the property of the National Urban League, will not be returned, and may be edited, altered, copied, exhibited, published, or distributed for purposes of publicizing the National Urban League’s programs or for any other lawful purpose.*

Yes, I agree
Emergency contact: Name, phone number, and email address*
How can we make your travel more comfortable? (Need wheelchair assistance?Traveling with others? Write their names here, etc.)
Lodging

National Urban League has reserved a hotel block at Renaissance New York Harlem Hotel 233 West 125th Street, New York, NY 10027 and will reserve accommodations on your behalf. Your reservation includes a one or two night stay at New York Marriott Downtown.
FOR THOSE TRAVELING OUTSIDE OF THE TRI-STATE AREA ONLY: What is your preference for hotel arrangements?*

October 3 - 4 (one night)October 3 - 5 (two nights)
FOR THOSE TRAVELING OUTSIDE OF THE TRI-STATE AREA ONLY: What is your preference for hotel arrangements?*

October 3 - 4 (one night)October 3 - 5 (two nights)October 2 - 5 (three nights)
Travel

Our travel agency will book your flights / train based on your responses below. They will send you an itinerary to review before issuing tickets. This is a complimentary service. ***PLEASE NOTE*** Our travel agency cannot book regional rail.
City and State you will be traveling from*
Preferred Departure Airport / Train Station*
TSA/Known Traveler Number
Preferred Airline / Train line & Rewards Number*
Seat Preference (not guaranteed)
Earliest Departure Time (All departures will take place on Friday, October 3rd)*

Hour Minutes

AM/PM Option
Earliest Departure Time *

Hour Minutes

AM/PM Option
Return Date (Date returning home from NYC) [Select Other to provide flight # and airline or train # if identified]*

Saturday (after the summit) - October 4thSunday - October 5thOther
Should be Empty:

Lodging

Travel