2017 Participant Registration

2012-2013 RFP Grantees

Participant Information
Name *
Name
Gender *
(limit: 100 words)
It is important that those attending the convening be directly engaged in the day-to-day implementation of the PSIPSE-funded project. (limit: 50 words)
Logistical Information
Do you have any dietary restrictions? *
Travel Information
If you are traveling to attend the convening, please complete the information below and Jackie Nansubuga (jnansubuga@qualitymngt.com) will reach out to you by email to coordinate your flight and hotel arrangements.
Date of Birth
Date of Birth
Hotel: There are a limited number of rooms available at the Lake Victoria Serena – our preference will be to have as many participants staying at the venue as possible. As such, we are looking for volunteers to stay in double rooms with a roommate. Should we not have enough volunteers, arrangements will be made at the nearby Sapphire Hotel.
Please check the box indicating if you are willing to stay in a shared room? *