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APHA Faculty/Staff Registration and Accommodations Form
Overview

APHA Faculty/Staff Registration and Accommodations Form

Please fill out this form prior to registering for APHA 2026.

If PHHP is covering your registration costs: Please don’t register yet. We’ll contact you with instructions on whether to use our complimentary registrations or go through the fiscal department for payment.

Name(Required)

First Last

Email(Required)

Cell Phone Number(Required)

This information will only be used for contacting attendees during APHA if necessary.

Are you attending APHA this year?(Required)

Yes

No

Is your conference registration, lodging and/or travel covered by an outside organization?(Required)

Conference Registration

Lodging

Travel Expenses

Supplementary Sessions or Events (e.g. receptions, CE credits, etc.)

None of the above

Are you requesting to have all or some of your expenses covered by the college?(Required)

Yes

No

Please select all expenses that you are requesting to be covered by the college:(Required)

Conference Registration

Travel Expenses

Lodging

Supplementary Sessions or Events (e.g. receptions, CE credits, etc.)

Please acknowledge that any PHHP faculty or staff who receive funding from the college to attend APHA are required to assist with staffing the PHHP exhibitor's booth during the conference.(Required)

I acknowledge this

Are you interested in working one or more shift at the PHHP exhibitor's booth during the conference?(Required)

Yes

No

Are you participating in the conference as a presenter, moderator, etc?(Required)

Yes

No

Please provide any currently available details related to your participation in the conference:(Required)

College of Public Health & Health Professions University of Florida

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