2021 National ID&R Forum Session Proposal
October 13-15, 2021 | Workshop Proposal Deadline - August 20, 2021
Workshop Abstract (100 words or less)
Target Audience (check all that apply)
Data Entry Personnel
All meeting rooms will be equipped with a presenter podium, mic, laptop computer, LCD projector, HDMI connection, and flip chart and markers. Please list any additional AV needs your workshop will require such as the Internet or speakers. Note - presenters are responsible for providing their own adapter. Type "None" if you do not have additional AV needs.
Preferred session length
Do you have a room setup preference? All room setups will meet CDC COVID-19 guidance.
Rounds (round tables with 6-8 chairs per table)
Classroom (long narrow tables with chairs)
Theater (rows of chairs, no tables)
If the presenter(s) is/are MEP-funded, the Lead Presenter must obtain permission from the State MEP Director. Please select the response that applies.
Yes, I have been given permission from my State MEP Director to submit this workshop proposal.
This does not apply to me (or my co-presenters, if applicable).
It is the responsibility of the Lead Presenter to share information related to this Workshop Proposal with all co-presenters. Presenters are responsible for preparing all handout materials needed for their presentation. By selecting this checkbox, I (as Lead Presenter) acknowledge and agree to the Terms of Presenting.
Yes, I acknowledge and agree to the terms of presenting.
Lead Presenter - Full Name
Lead Presenter - Title
Lead Presenter - Agency
Lead Presenter Business Address - Street Address
Lead Presenter Business Address - Street Address Line 2
Lead Presenter Business Address - City
Lead Presenter Business Address - State
Lead Presenter Business Address - Zip Code
Lead Presenter Phone Number
Lead Presenter Email Address
Optional - Additional information
Please use this space only if needed to provide additional information about your proposal.
Never submit passwords through Google Forms.
This form was created inside of ESCORT.