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VAFB Management Development Program (MDP) - Cohorts 2 & 3
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Cohort Rosters
Dates/Locations
Travel/Hotel Information
Register
1
Registration
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Confirmation
First Name
Last Name
Email Address (to receive confirmation)
Cell Phone Number
Virginia Farm Bureau Department or Role
Accounting
Administration
Agriculture in the Classroom
Agriculture, Development & Innovation (ADI)
Area Manager (AM) - Producing
Area Manager (AM) - Traditional
Claims
Communications
Governmental Relations
Health Insurance Solutions
Human Resources
Information Services
Insurance Agency Services
Marketing & Brand Strategy
Meetings & Events
Membership & Field Services
Product Development & Actuarial
Regional Sales Manager (RSM)
Sales
Special Programs
Training & Field Operations
Underwriting & Policy Services
OTHER
If OTHER West Creek Department, which?
To which Cohort are you assigned?
Cohort 2
Cohort 3
I am to participate with Cohort 2 AND Cohort 3
Dietary Restrictions?
None
Alpha-gal syndrome (AGS)
Celiac Disease
Dairy Allergy
Gluten Free
Halal
Kosher
Nut Allergy
Seafood Allergy
Shellfish Allergy
Vegan
Vegetarian
Other
If OTHER dietary restriction, please specify.
ADA Restrictions?
None
Hearing Impaired
Mobility Issues
Vision Impaired
Wheelchair Accessibility needed
Other
If OTHER ADA restriction, please specify.
Which Session(s) will you attend?
Cohort 2/Session 1/October 6/Richmond
Cohort 2/Session 2/December 9/Roanoke
Cohort 2/Session 3/February 23/Richmond
Which Session(s) will you attend?
Cohort 3/Session 1/October 7/Richmond
Cohort 3/Session 2/December 10/Roanoke
Cohort 3/Session 3/February 24/Richmond
Will you need a hotel room?
Yes, for Cohort 2/Session 1/October 6/Richmond (Hotel stay is the night of October 5)
Yes, for Cohort 2/Session 2/December 9/Roanoke (Hotel stay is for night of December 8)
Yes, for Cohort 2/Session 3/February 23/Richmond (Hotel stay is for night of February 22)
No, I don't need a hotel room in any location.
Will you need a hotel room?
Yes, for Cohort 3/Session 1/October 7/Richmond (Hotel stay is the night of October 6)
Yes, for Cohort 3/Session 2/December 10/Roanoke (Hotel stay is for night of December 9)
Yes, for Cohort 3/Session 3/February 24/Richmond (Hotel stay is for night of February 23)
No, I don't need a hotel room in any location.
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