Request edit access
Leviosa 2019: Call for Programming
By submitting this form, you understand and agree to the following: (i) no obligation of any kind is assumed or implied against us by reason of our review of this form, your information, ideas and/or material, or because of any discussions or negotiations related thereto; (ii) we are accepting and evaluating forms, ideas and material which may be similar or identical to yours and so you hereby waive any claims, demands, and liabilities of any kind by reason of a claim that we have used or misappropriated any information, ideas and/or material submitted hereunder; (iii) no fiduciary or confidentiality relationship is established, and we are hereby authorized to discuss this form and all information, ideas or materials contained herein with staff and collaborators to evaluate potential inclusion in the convention; (iv) we are hereby authorized to use this form and all information, ideas or materials contained herein in connection with your session and the convention at our discretion; and (iv) you represent and warrant that you are18 years of age and the sole owner or author of the material and have the rights and authority to submit this form and information contained herein.
Info about Session:
Which Programming Track would you like to be under? (If your proposal could fit under more than one track, pick your preferred track. We reserve the right to reclassify it as necessary) *
What type of session is it? (If you have a panel idea but not enough panelists yet, still choose panel discussion) *
Session Title: *
Your answer
Session Summary (50 -75 word abstract, for your blurb in the program): *
Your answer
Session Description (Give us all the details! e.g. specifically what you'll be presenting, doing in the workshop, list of discussion questions for a panel, etc.): *
Your answer
This session has mature content (18+ only). *
How much time will you need for your session? *
Do you have any A/V needs? *
Required
Info about Submitter:
Submitter Name (Pseudonyms ok) *
Your answer
Submitter Legal Name (for registration checking purposes): *
Your answer
Submitter email (for internal use only): *
Your answer
Submitter biography (50-75 words, may be included in the program) *
Your answer
Are you registered for Leviosa yet? (We will not keep any session on our schedule for submitters who do not confirm attendance by May 1, 2019) *
Info about Panelists:
Minimum 3 Panelists; Maximum 5 Panelists (including you). If you have a panel idea but not enough panelists, let us know and we'll (a) help you find more or (b) figure out how hold it anyway (maybe as a lecture or roundtable)
Co-Panelist #1 (Pseudonym, Legal Name, Email)
Your answer
Co-Panelist #1 Biography (50-75 words, may be included in the program)
Your answer
Co-Panelist #2 (Pseudonym, Legal Name, Email)
Your answer
Co-Panelist #2 Biography (50-75 words, may be included in the program)
Your answer
Co-Panelist #3 (Pseudonym, Legal Name, Email)
Your answer
Co-Panelist #3 Biography (50-75 words, may be included in the program)
Your answer
Co-Panelist #4 (Pseudonym, Legal Name, Email)
Your answer
Co-Panelist #4 Biography (50-75 words, may be included in the program)
Your answer
Are your co-panelists registered for Leviosa yet? If not, when will they register?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service