Working Group in Child Maltreatment Data Collection

Pre-session September 7, 2008

Registration form

Thank you for your interest in participating in the pre-session of the Working Group in Child Maltreatment Data Collection. For following up purposes we would like to ask you to please, provide information about you and your interest in child maltreatment data collection.
 
 
Suffix(Prof/Dr/Mr/Mrs/Ms)
First Name:* Last Name (Surname):*
Company/Organization (if applicable):
Mailing Address:*
City:* State/Province:
Postal Code:* Country:*
Telephone Business: Business Fax:
Email:*
What is your role or your organization’s role in local or national processes of child maltreatment data collection?
Please, explain::
   ISPCAN Secretariat Office - 245 W. Roosevelt Road Building 6, Suite 39 -  West Chicago, IL 60185 USA - Tel. +1.630.876.6913