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Panel Request Form
Name of Instructor
Email Address of Main Contact Person
Panel Location: Address, Building Name/#, Room #, etc.
If a class, what is the class title?
What is the approximate audience size?
Please give two day and time slots (1st & 2nd) and we will do our best to accommodate your request.
How long is the allotted time period for the panel?
What panel(s) are you requesting?
BDSM: Fact and Fiction
Polyamory and Non-Monogamy
Gender Spectrum: It's Not Just a Binary
Body Image: Loving Yourself
Sexuality and Aging
Sexuality and Disabilities
Is there parking available nearby?
Parking garage with handicap spaces.
Only street parking.
We request that parking passes be made available to our presenters.
Parking passes will be paid for by the professor/organization/school.
Presenters should bring cash for passes.
Presenters should bring cash and will be reimbursed at a later time by the professor/organization/school.
There are no parking pass requirements.
If the presenters should bring cash, how much is a parking pass at your location?
Please include links to the campus and parking maps.
We do request an honorarium of $150 per presentation per semester. No one is turned away for lack of funds, but in this case we ask that you fill out a fee waiver form. *If scheduling 3 or more presentations in a semester, we ask for $150 for the first and $300 for three presentations. (Buy two, get one FREE!) Please read this post for more information:
Our school/department/organization can pay.
Please send information on the fee waiver.
We are interested in multiple panels at a reduced rate.
What is the technology like in the space?
Computer console with USB port
Mics (if lecture hall)
A copy of your responses will be emailed to the address you provided.
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