2018 BMOC Report Card Webinar CTBMoCReportCard Webinar Registration Registration form Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Email* Organization* Website Which of the following sectors does your organization work in?Criminal JusticeEducationGovernmentHealthHousingLaborLaw Enforcement/Public SafetyNonprofitTransportationUrban PlanningOtherHow did you hear about the webinar?EmailWord of MouthWebsiteSocial Media (Facebook or Twitter)UConn Health News SourcesAre you interested in receiving information from HDI? Yes No How might you or your organization use the CT BMoC Report Card?Do you have any comments or questions for the webinar?NameThis field is for validation purposes and should be left unchanged.