Animé Los Angeles 22 PANEL Request
IMPORTANT NOTE!!  This form is for PANEL requests only. See link on our website for the workshop request form.

Panel – Any type of presentation or discussion on topics selected by the Panelist.
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Email *
Panel Information
Title *
Short Description (for use in program guide/mobile app, please keep this to 1 or 2 paragraphs, and make sure to spell/grammar check) *
Detailed Description (please include any additional information that is relevant to your panel that you feel the panel selection committee should be aware of) *
Is this program item '18+' ? (Please note that any 18+ programming must be scheduled after 10 PM and will require the room to be cleared after the previous panel so that we can ensure all attendees are over 18.) *
Are you or any of your panelists a member of ALA staff? *
If yes to the above, which department? (Please note, that we cannot guarantee special scheduling accommodations for staff, and you must notify your department head of your panel schedule when it is released)
Estimated attendance for your program item: *
Past Panels -reference links: Please include any links (YouTube; etc.) to past panels as applicable:
Time Needed *
Over 120 Mins? - please list your reason why
What days will you be at the convention? (Remember to select all the days you will be at con) *
Required
What time frame do you prefer to present (Please pick a minimum of 2.  You will be scheduled during a time frame you select on any of the days you indicate you will be at the convention) The more time frames you select, the easier it will be to schedule you. *All 18+ programming will be scheduled at 10 PM or later. *
Required
What ALA sponsored events do you plan on participating in? (We will do our best to accommodate panels for those panelists that are participating in official ALA events, excluding cosplay gatherings) *
Required
Room set and Tech notes
Panel rooms will be set theater style and will have a standard tech set including projector; sound; mic; computer connection. Please note we will not be able to accommodate any special requests at the convention.
Panelist #1 (Primary)
First Name *
Last Name *
Badge Name
E-mail Address *
Phone Number *
Preferred method of contact during the convention? *
Panelist #2
First Name
Last Name
Badge Name
E-mail Address
Panelist #3
First Name
Last Name
Badge Name
E-mail Address
Panelist #4
First Name
Last Name
Badge Name
E-mail Address
Additional Panelists
(Please list the following for all additional panelists- Full Name/Badge Name/Email Address/Phone Number/Mailing Address)
*** Any panelist listed in this section is not eligible for a complimentary membership

Additional Panelists Information
Have you or any of your co-panelists submitted any other panel applications?  Y/N                         *
If yes, please list panel names here:  (we will do our best to accommodate to ensure there are no time conflicts, however, we do ask that you be as thorough as possible when listing all other panels that you and your co-panelists have applied for.)
I have read and acknowledge the Live Programming Application Guidelines. *
Required
A copy of your responses will be emailed to the address you provided.
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