Workshop Proposal Form

Last Name
   

First Name  
 

e-mail

Address

City
State   Zip

Phone

Workshop Title

Workshop Description

Presenter’s Bio (100 words or less)

Target Audience

Participation Limit

Preferred space (Subject to availablity)

Equipment needs
  

Session Length

Other needs not listed above
 

Comments

 

Day and time preference - will be honored as best as possible
First Choice Second Choice Third Choice