Registration - ACA Multi-Campus Teach-In
Sign up to indicate your plans to participate in the statewide learning and discussion about the Affordable Care Act ("Obamacare").
Items with a red asterisk * require input.
Which College or University do you attend?
In what city/town is your campus located?
Your email address
Do you plan to participate in the on-site program at your campus or do you plan to log into the program from your personal computer?
Attend the on-site interactive program on my campus
Log in to the webcast from my personal computer
Check option that most closely applies
What is your current position/status at your school?
Associates or Bachelors degree Undergraduate student
Non-degree program student
Graduate degree/Professional program student
Other status/affiliation with the college or university:
If you are in a specific course of study or major, please tell us what it is here:
Notes, comments, or special needs:
Do Not Fill This Out