Affordable Learning Ambassadors' Workshop Information Form
Name of primary workshop presenter *
Your answer
Email address of primary workshop presenter *
Your answer
Institution of primary workshop presenter *
Your answer
Names of additional workshop presenters
Your answer
Email addresses of additional workshop presenters
Your answer
Institutions of additional workshop presenters
Your answer
What type of workshop/presentation will you be delivering? *
Where is the workshop taking place? *
Your answer
Date of proposed workshop *
MM
/
DD
/
YYYY
Time
:
Length of proposed workshop *
Hrs
:
Min
:
Sec
How many seats are available at this workshop/presentation?
Your answer
To whom is this workshop open? *
Is there any cost for this workshop? *
If you answered yes to the previous question, what is the cost and what does it cover?
Your answer
Who is the intended audience for this workshop? *
Your answer
Please include a short 2-4 sentence description of the presentation/workshop that we can include on our website. *
Your answer
Will you be offering any stipends for reviews or attendance? *
If you answered yes to the previous question, please tell us more about what the stipends will be used for and who they will be available to?
Your answer
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