California Emergency Education Conference 4/15/17
April 15th, 2017. 9:30am-6:00pm.
This form allows you to REGISTER for the Conference and if you'd like to PROPOSE a workshop.
To submit a workshop proposal, please indicate your interest in the form below, and follow up by emailing your proposal to
ever.upward.march@gmail.com
with the subject header [Your Last Name] Conference Proposal!
Your proposal should be for a workshop of about one hour, and include:
Facilitator(s) name(s)
Title of Workshop
A short blurb about the workshop main ideas (2-3 sentences)
A quick outline of your workshop (4-5 sentences)
* Required
Do you plan to attend the conference?
*
Yes, definitely.
Maybe but I'm not certain.
No, but I would appreciate a livestream, conference notes, or I would like to be plugged in to similar events!
Will you need any accommodations?
I'll need childcare
I need a vegan lunch option
I need ASL interpretation
Other:
Would you like to submit a workshop proposal?
Yes, I will email my proposal in a worddoc or pdf format to
ever.upward.march@gmail.com
No
Other:
Clear selection
What's your email (opt phone#) so we can send you a program?
*
Your answer
How did you hear about this event?
Facebook Event/Webpage
Comrade
Random conversation/encounter
Other:
Clear selection
Comments and/or questions
Your answer
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