Request for Proposal
An annual virtual event hosted by the University of Wisconsin-Stout Vocational Rehabilitation Institute (SVRI)
Due: September 22, 2023
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Contact Name:  *
Contact Email:  *
Contact Phone Number:  *
Organization Name: *
Address: *
City: *
State: *
Zip: *
Presentation title (5 words of less): *
Presenter 1 Name: *
Presenter 1 Email: *
Presenter 2 Name:
Presenter 2 Email:
Presenter 3 Name:
Presenter 3 Email:
Presenter 4 Name:
Presenter 4 Email:
Presenter 5 Name:
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Please list all other presenters here (Name and Email):
Presentation description (5-6 sentences describing your presentation): *
List 3 learning objectives from the presentation: *
Who is your target audience? 
Will assistance be required to record the presentation? *
If proposal is selected, I agree to send my presentation materials (recording and handouts) to the Expo committee by December 29, 2023. *
May SVRI use your recorded presentation as additional material in our Webinar Catalog? *
Any questions for us?
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