Presentation Proposal Form

Name*

First Last

Pronouns

Organization (if applicable)

Job Title (if applicable)

Is there another presenter?*

Yes

No

Second Presenter Name*

First Last

Second Presenter Pronouns

Second Presenter Organization (if applicable)

Second Presenter Job Title (if applicable)

Is there another presenter?*

Yes

No

Enter the names, organizations, and titles of any additional presenters.*

Presentation title*

Presentation general topic*

Presentation learning objectives*

Executive Summary or Outline (4,000 characters max)*

How does this presentation relate to sexual assault? (4,000 characters max)*

Intended audience? (4,000 characters max)*

Workshop style?*

Select between 1 and 3 choices.

Lecture

Panel

Interactive

Other

Choose all that apply.

Workshop description*

Workshop participant knowledge level?*

Beginner

Intermediate

Expert

Primary Contact Name*

First Last

Primary Contact Phone*

Primary Contact Email*

Enter Email Confirm Email

Presenter Resume*

Drop files here or

Max. file size: 50 MB.

Please upload a resume or CV for each presenter.

Presenter Biography*

Drop files here or

Max. file size: 50 MB.

Please upload a 4,000 character maximum professional biography for each presenter.

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