Participate and Attend!
Note: This is only for our planning purposes and to get your feedback.

You will still need to register for the AMC and for housing **separately**. See the website:

https://store.alliedmedia.org/
Sign in to Google to save your progress. Learn more
Your name *
Your email *
Please provide an email address where we can contact you.
Who are you? *
GIve a short bio/description.
Accomodations *
Let us know what you'll need to make the space physically, emotionally, and cognitively accessible for you.
What would you like to discuss?
Let us know what you'd like to discuss in the groups sessions.
Are you willing to facilitate a small group discussion?
Interested in leading a micro-workshop or micro-skill share?
If you are interested in leading: what would you want to do?
We'll get all the participants to rate their preference and decide based on attendee interest.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report