Connecticut Land Use Academy

Online Registration

First Name:*	Last Name:*
Email Address:
Street Address:
Street Address2:
Town/City:	CT ZipCode: * Connecticut ZipCodes Only
Daytime or Cell Phone (in case of cancellation):*

Are you a local official? Yes \| No \| Don't know
If you are a local official, what type (choose all)?
Planning Only	Inland Wetlands Only	ZBA
Zoning Only	Conservation Only	Economic Development
Planning & Zoning	Inland Wetlands and Conservation	Selectmen
Other:

If you are not a local official, what type of organization do you represent?
Town/city Employee	Regional Government	Private Sector
Nonprofit	State Government	Interested Citizen
Academia	None of these
Other:
How many years, approximately, have you been on your commission/board?
0-3 Years	4-6 Years	Don't know
6-10 Years	Over 10 Years
Would you like to be on the CLEAR email list? Yes \| No \|
Would you like to be on the CLEAR mailing list? Yes \| No \|
If you are unable to attend the training, you must cancel your registration one week prior to the training date in order to receive a refund.

* Required Field