Workshop Application - Idaho Conference on Refugees  
All workshops must be submitted by December 2nd. Questions? Please contact Elizabeth Norton at enorton@idahorefugees.org.
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Email *
Workshop Title *
Topic/Target Audience (choose up to 2) *
Required
Please indicate the level of knowledge participants should have to attend your workshop:  *
Is your workshop geared toward a diverse audience that many require interpretation? *
Presenter #1 Name *
*Presenters’ resumes with education credentials will be required for approval of Continuing Education Credits for licensed professionals. If your workshop is selected, please be ready to send this information quickly.
Education Level *
This information is used so we can determine CEUs/credits the audience can receive
Organization Name *
Email Address *
Phone Number *
Do you have a refugee background? *
Presenter #2 Name:
*Presenters' resumes with education credentials will be required for approval of Continuing Education Credits for licensed professionals. If your workshop is selected, please be ready to send this information quickly.
Education Level
This information is used so we can determine CEUs/credits the audience can receive
Organization Name
Email Address
Phone Number
Do you have a refugee background?
Clear selection
Presenter #3 Name:
*Presenters’ resumes with education credentials will be required for approval of Continuing Education Credits for licensed professionals. If your workshop is selected, please be ready to send this information quickly.
Education Level
This information is used so we can determine CEUs/credits the audience can receive
Organization Name
Email Address
Phone Number
Do you have a refugee background?
Clear selection
Additional presenters/panelists
If chosen, what days/times can you absolutely NOT present?  *
Set-Up Needs: Each room will have 1 microphone, 1 laptop, 1 podium, 1 projector and screen, house sound, white board and markers. If you need additional microphones, or chairs/tables, please list them below.  *
Please note: We are not able to provide flipcharts. 
Describe what your workshop will entail and what participants will gain. 
Write a one-paragraph description of your workshop to be placed online for conference registration.  *
Describe the primary and secondary target audience for your workshop.  *
List the learning objectives or outcomes for your workshop.  *
Anything else you would like to add?
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