Faith Based RegistrationBy registering and becoming a partner in the Jersey City-Newark Urban Area Initiative you will be notified of upcoming trainings, events and relevant information to your discipline. If eligible, you may be asked to participate in planning and working group sessions that inform regional policy and operational concepts.
CONTACT INFORMATIONFirst Name: *Last Name: *Position/Title/Rank: *Phone Number: *Mobile Phone: Email Address: * (Agency/Organization Email Addresses Only)Please re-type your email address: *Address: *City: *County: *
ORGANIZATIONOrganization Name: *Discipline / Assignment / Role: *SUPERVISOR INFORMATION CONTACTFull Name: *Supervisor's Title: *Phone Work: * Supervisor's Email Address: * (Agency/Organization Email Addresses Only)WEBSITE ACCESSPassword: *Create a password for site access / modify your contact information. (min 8 characters; 1 numeric, 1 special)
All registration information is considered strictly confidential and will not be shared.