Registration Brochure
Transcription
Registration Brochure
Invitation to IPHA Legislative Action Day 2015 Dear Colleagues, On behalf of the leadership of the Illinois Public Health Association, we invite you to attend the IPHA Legislative Action Day 2015 on April 15, 2015, in Springfield, Illinois. As public health leaders, we have the opportunity to influence the process through grassroots action and collective advocacy. This event highlights key legislative issues that impact the public’s health in Illinois. IPHA Legislative Action Day is an excellent opportunity to increase your awareness of legislative issues affecting public health, to foster relationships with State Legislators and other policy makers, and to gain education in the practical aspects of public health advocacy. The day’s activities include a luncheon keynote address, briefings on legislative issues currently before the General Assembly, and a full afternoon at the State Capitol meeting with legislators and their staff. The day concludes with a legislative reception, co-sponsored by Illinois Association of Public Health Administrators, Northern Illinois Public Health Consortium, Illinois Dental Hygienists’ Association, Illinois Federation of Teachers, West Suburban Dental Hygienists’ Society and Southern Illinois Dental Hygienists’ Society, where participants have the opportunity to meet and network with members of the legislature and fellow public health advocates. The involvement of public health organizations in the current legislative environment has never been more important. Collectively, our efforts demonstrate how individuals and organizations committed to public health can impact the health of their communities through policy and advocacy. We hope you support these efforts and register to attend this exciting event! David Remmert, PhD, MPH IPHA President Location Registration / Luncheon Plenary Session: Hilton Springfield Hotel, 700 E. Adams St., Springfield, Illinois 62701 Legislative Reception: Sangamo Club, 227 E. Adams St., Springfield, Illinois 62701 Preliminary Agenda 11 a.m. Registration (Hilton Hotel) Noon – 2 p.m. Luncheon Plenary Session (Hilton Hotel) Noon Lunch 12:45 p.m. Opening Remarks David Remmert, PhD, MPH, IPHA President Miriam Link-Mullison, MS, RD, IPHA President-Elect 1 p.m. Keynote Address Nirav Dinesh Shah, JD, MD, Director, Illinois Department of Public Health 1:45 p.m. IPHA Legislative Overview/Capitol Briefing Brittan Bolin, IPHA Government Relations 2 p.m. Capitol Briefing for Student Attendees Ralph Schubert, IPHA Director of Public Policy 2 p.m. – 4 p.m. Legislative Visits (State Capitol) 5:30 p.m. – 7:30 p.m. Legislative Reception (Sangamo Club) Illinois Public Health Association Legislative Action Day • April 15, 2015 Registration Deadline: April 8, 2015 Name__________________________________________________Title___________________________________________ Agency______________________________________________________________________________________________ Address______________________________________________________________________________________________ City____________________________________________________________ State______________ Zip________________ Phone______________________________________________ Fax______________________________________________ E-Mail_______________________________________________________________________________________________ IPHA Section Affiliation_________________________________________________________________________________ Registration Fee: Full Registration – $30 Includes attendance to the luncheon and Joint Evening Legislative Reception. Special Needs: Vegetarian Meals Interpreter _______________________ Other_____________________________ Please check appropriate responses (all that apply): I will attend the Joint Evening Legislative Reception. I will visit the State Capitol to meet with my Senators and Representatives. If you would like IPHA to assist in scheduling a legislative meeting, please check appropriate response: Yes No Legislative District: Senate_________________________________________ Representative_________________________________________ Please make $30 checks payable to Illinois Public Health Association. On-line registration is available by visiting the IPHA website at www.IPHA.com. Conference participants who register on-line may choose to make their payment with Visa or Mastercard. CANCELLATION POLICY: A refund will be made if written notice is received by April 8, 2015. No refunds after April 8, 2015. QUESTIONS: Phone: (217) 522-5687 • Fax: (217) 522-5689 • E-mail: [email protected] Return this form with remittance to: IPHA, 223 S. Third St., Springfield, IL 62701-1144