Registration Type

Attendee Information

Please fill this out for the person attending the conference (ex. If a Tribal Chairperson is attending, but registration is being filled out by Administrative Assistant, then fill out the below information with the Tribal Chairperson’s information)

Attendee's Mailing Address
USA


If your tribe is not listed, please choose 'Tribe Not Listed.' If you are not Native, please select 'No Tribal Affiliation.'

Do you plan on attending one of the Listening Sessions on Monday, August 17, 2026? 

This question is required.

Demographic Information

The following demographic information is being requested by the National Indian Health Board (NIHB) to further enhance programs, services, and conferences to meet participant needs.  Regarding the collection: 

  • Each question enables NIHB to understand the unique feedback and ideas of conference attendees. 
  • Individual identities and responses will not be shared. Given the complexities of social identities, the response options listed in the following questions are rooted in U.S. historical and cultural contexts.

The National Indian Health Board recognizes the limitations of demographic data collection efforts and the need for continued research on new methods that respect Tribal sovereignty and the Lifeways of Tribal people. We appreciate your participation. 

Race/Ethnicity (Please select all that apply to your personal identity)

This question is required.

Are you a Veteran of the US military, armed services reserves or national guard?

This question is required.