Presenter Submission, 5WAVES Conference
Thank you for being willing to share your experience, knowledge, and perspectives at the first conference on sibling sexual trauma and abuse in the US. Together we will Break the Silence! 
Please note: As we are still a very small nonprofit, 5WAVES is expecting that those who are presenting will register for the conference and cover their own travel and lodging expenses. If this creates a barrier for you, please contact us at conference@5waves.org. 
Sign in to Google to save your progress. Learn more
Your Name (for communication purposes only; will not be shared publicly unless permission given in Question 2) *
Name and credentials to appear in the conference program (pseudonym or anonymous are acceptable) *
Email (will not be published) *
Phone number to be used while at the conference (will not be published) *
Name of Presentation *
Brief description (abstract) of your proposed presentation (max 500 words) *
Perspective from which you will be presenting
Your bio, as you would like it to appear in conference program (subject to editing) (max 50 words) *
Your gender and pronouns (optional)
Your race/ethnicity (optional)
Do you need an audiovisual projector for your session? *
Please list any accomodations you need, or special room set up.  *
Are you willing to have your session recorded? *
Are you willing to have photographs taken during your session? *
What is the length of your presentation? *
Are you willing to speak on a panel with others if time does not allow for an individual presentation? *
Who is the main audience of your presentation? Select all that apply: *
Required
Is there anything else you would like 5WAVES to know? Any questions you have for us? 
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of 5WAVES.

Does this form look suspicious? Report