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P.O.W.E.R Conference 2.0 Presenter/Employer Proposal Form
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Video/Photo Release Form
Do you agree to the video/photo release form?
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If you accept our terms/conditions of our photo release form, please print your full name and date.
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Presenter/Employer Agreement
Print Full Name and Date
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Career Fair Presenter/Employer Information
Presenter/Employer Email
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Presenter/Employer   Phone Number
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Presenter/Employer   First Name
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Presenter/Employer   Last Name
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Presenter/Employer Preferred Name and Title
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Name of Organization
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Organization Website
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Gender
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Race/Ethnicity
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T-Shirt Size (We want to provide you with some SWAG!)
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Presenter/Employer Professional Profile & Needs/Accommodations
Which option best describes your workshop topic?
*Please select all that apply.
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If you selected Track 1, what unique tools or supplies are you able to provide (Think about the hands on experience or skills you would be teaching).
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If you selected Track 2: Which topic best aligns with your overall presentation? 
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If you selected Track 3: Please tell us the name of your organization and opportunity you will be offering? 
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Have you presented your chosen track to youth ages 12-18?
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How many years of experience do you have speaking in front of youth/young adults?
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Please provide the tentative title of your workshop
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Please provide the key points for inspiration and action centered on equity, increase in representation, or creating opportunities for BIPOC communities. 
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Please provide a description on the flow of your workshop and what you expect the students to feel when they are in your workshop and when they leave your workshop
 (Explain in at least one paragraph).
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Please list 3-5 skills or takeaways participants will leave with after your workshop.
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Will you be using your own curriculum/content for this workshop?
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If no, please identify the person/organization you will you be drawing inspiration from.
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Have you been through a background check, gained approval from a school district volunteer form, or are apart of youth serving organization that has cleared you to work with minors? (If you have been personally invited by a B2L partner or representative you can check "Yes")
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Presenter Workshop Needs
Please select the technology needs for your workshop.
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Please select the materials you will need for your workshop.
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Please list any other needs you may have to ensure your workshop is a success.
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Based on our desired impact we would like to have workshop sessions begin with the Track 2 presentations and end with Track 1 experiences. Please select your preferred time to present. We will do our best to provide you with your preferred time slot.
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Would you like to be added to our mailing list for updates, recaps of the event, and communication about future B2L initiatives?
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Would you like to be added to our network of prospective partners?
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