Application for Public NIC Program

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About this interest form

Thank you for expressing interest in this program. If you are selected, you will be notified with additional instructions.

Apply to the event or program you're interested in

Please select the program you want to apply to.

Your Information

First Name

Last Name

Job Title

Phone

Organization or Agency

Organization Address

Organization Address 2 (suite/apt number)

Organization City / Town

Organization State

Organization Zip Code

Departing Airport

ONLY if this program is held in person: Please include the airport you would fly out of to attend the program.

Check this box if you have attended an in-person NIC program before

Briefly describe your role with pretrial system improvements

Application for Public NIC Program

Notice:

About this interest form

Your Information

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