Social Workers' Network - Agency Registration Form

Thank you for your interest in participating in the UConn School of Social Work Social Workers’ Network event taking place on Friday, March 28, 2025, from 1:00 to 3:00 pm at the University of Connecticut School of Social Work located at 38 Prospect Street, Hartford, CT 06103! Please submit the following registration form to reserve a space for your agency.

Do not hesitate to reach out to the Office of Student & Academic Services at sswstudentservices@uconn.edu or (959) 200-3687 with questions!

Name of agency(Required)

Location of agency(Required)

Brief description of agency(Required)

Agency website

What is your agency looking to speak to students on?(Required)

Employment opportunities

Professional development opportunities

Main Point of Contact Name(Required)

First Last

Main Point of Contact Email(Required)

Enter Email Confirm Email

Main Point of Contact Phone(Required)

Emails of other representatives that should be included in communication on the event:

Agency Set Up:

Tables will comfortably accommodate 2 representatives each, but more chairs can be added if necessary. We ask that you please let us know in advance if you intend to have more than 2 representatives in attendance. Agency set up may begin at 12:30 pm, with the expectation that your table is ready to go by 12:50 pm.
Food:

Unfortunately, we are not able to provide lunch at this event and ask that you please plan accordingly.
Cancellations:

If your agency no longer can attend, please email sswstudentservices@uconn.edu to let us know as soon as you are able.

Please check the box below to confirm you have read and understand the above event details prior to submitting this form.(Required)

I confirm that I have read and understand the event details.

Phone

This field is for validation purposes and should be left unchanged.