Session Title
*
Session Length
*
Other
Facilitation Type
*
Other
Maximum Number of Participants
*
Session Theme
*
Other
Session Equipment
*
Other
Session Description
*
100 words max. This will appear on the Summit website and in the program.
Session Objectives
*
What will participants be able to do after your session?
Session Audience
*
Other
Primary Presenter/Facilitator Background
*
Please tell us a little about yourself. This can include background, identities, experiences, education, skill sets, aspirations, career-related information, and previous experience facilitating this particular topic.
Primary Presenter/Facilitator Bio
*
This is the information about you that will appear in the program. Please limit your response to 100 words or fewer.
Primary Presenter/Facilitator Email Address
*
Primary Presenter/Facilitator Phone Number
(###)
###
####
Secondary Presenter/Facilitator Name
Secondary Presenter/Facilitator Background
Secondary Presenter/Facilitator Bio
Secondary Presenter/Facilitator Email Address
Secondary Presenter/Facilitator Phone Number
(###)
###
####
Secondary Presenter/Facilitator Organizational Affiliation
Additional Presenters/Facilitators
Please list their names, email addresses, and phone numbers below.
Additional Information
Is there anything more that you want to add to your proposal?
