Annual Meeting Registration Join us on April 21st from 10am to 2pm for the Kansas Suicide Prevention Coalition's Annual Meeting. This year, we will be meeting in Overland Park, KS at the Grid Collaborative Workspace. We will be going over our accomplishments throughout the past year, working collaboratively on furthering our goals from the state suicide prevention plan, and building a space for connection and growth through lived experience. Lunch and snacks will be provided. More information on hotel rooms, event schedule, and more to come!Name(Required) First Last Email(Required) County(Required)Dietary Restriction(Required) None Gluten Free Vegetarian Vegan Other Other Dietary Restriciton(Required)Please specifyAre you a member of the KSPC?(Required) Yes No Scholarship QuestionsWill the expenses of your travel and lodging to the KSPC Annual meeting be covered by a non-profit or corporation?(Required) Yes No Unsure Scholarships for mileage reimbursement are available to individuals and licensed professional members who's travel is not covered by a non-profit or corporation who travel over 200 miles. Would you like to request a scholarship to cover travel and lodging expenses?(Required) Yes No What address will you be traveling from to attend the meeting?(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Are you booking a room in the Four Points by Sheraton block?(Required) Yes No This field is hidden when viewing the formSection BreakAre you traveling over 250 miles to the meeting and would like to request a scholarship to cover travel and lodging expenses?(Required) Yes No CAPTCHA