Mixed Remixed Festival Panelist or Panel Proposal Submission
Please read the directions carefully before completing this form.  Once you have read the information, complete the form below.

After completing the form, please email a high-res photo (jpg) of each panelist to info(at)mixedremixed.org with Panel Proposal Submission in the subject line along with the name of the proposed panel.  Please label the photo file with the panelist's first and last name.

Panels will be scheduled for either 50 minutes or 1 hour and 20 minutes.

Panel presentations focused on questions concerning storytelling of the Mixed experience through film and literary arts, performance, and media (e.g. Mixed in Hollywood, The Mixed Experience in the Mainstream media, etc.) will receive priority consideration.  However, panel presentations can also be focused on subjects and issues of concern to mixed, multiracial, blended families and individuals and families of transracial adoption.

YOU CAN SUBMIT YOURSELF FOR A PANEL (WITHOUT OTHER PANELISTS).  BUT PLEASE BE SPECIFIC ABOUT WHAT YOUR EXPERTISE/ANGLE IS FOR THE PANEL.  WE WILL TRY TO MATCH INTERESTING SPEAKERS AND PANELISTS TOGETHER TO CREATE DYNAMIC CONVERSATIONS TO PRESENT AT THE FESTIVAL.

If you are proposing a complete panel, you must confirm attendance of all proposed presenters at the time of submission.  The Festival is unable to provide transportation or lodging to panelists.

Submissions are due Jan. 15, 2015 11:59PM Pacific. DEADLINE NOW EXTENDED to Feb. 13, 2015.
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First Name *
Last Name *
Email Address *
Address 1 *
Address 2
City *
Zip Code *
Phone Number *
Your Expertise or Angle of Interest for a Panel
What makes you perfect for a Mixed Remixed Festival panel?
Panel Title
Panel Description
Please limit to no more than 200 words.
Your Bio or Bio of Moderator
Bio is limited to 3 sentences and no more than 75 words.  Bio must be written in 3rd-person. Please do not use all-caps.
Your Email or Moderator Email Address
Your Website or Moderator Website
Your Facebook or Moderator Facebook
Only list Facebook link if this is a public page or group.
Your Twitter or Moderator Twitter
Your Instagram or Moderator Instagram
Bio Panelist 1
Bio is limited to 3 sentences and no more than 75 words.  Bio must be written in 3rd-person. Please do not use all-caps.
Panelist 1 Email Address
Panelist 1 Website
Panelist 1 Facebook
Only list Facebook link if this is a public page or group.
Panelist 1 Twitter
Panelist 1 Instagram
Bio Panelist 2
Bio is limited to 3 sentences and no more than 75 words.  Bio must be written in 3rd-person. Please do not use all-caps.
Panelist 2 Email Address
Panelist 2 Website
Panelist 2 Facebook
Only list Facebook link if this is a public page or group.
Panelist 2 Twitter
Panelist 2 Instagram
Bio Panelist 3
Bio is limited to 3 sentences and no more than 75 words.  Bio must be written in 3rd-person. Please do not use all-caps.
Panelist 3 Email Address
Panelist 3 Website
Panelist 3 Facebook
Only list Facebook link if this is a public page or group.
Panelist 3 Twitter
Panelist 3 Instagram
Bio Panelist 4
Bio is limited to 3 sentences and no more than 75 words.  Bio must be written in 3rd-person. Please do not use all-caps.
Panelist 4 Email Address
Panelist 4 Website
Panelist 4 Facebook
Only list Facebook link if this is a public page or group.
Panelist 4 Twitter
Panelist 4 Instagram
A/V Needs
Room Set-Up Needs
Please note if you need the audience/participants to be seated in a certain configuration.
I have planned the workshop/panel presentation to be:
Clear selection
The panel presentation is geared toward on kids or young adults. *
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