Hollyhock Program Proposal
Name *
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Email *
Your answer
Mailing Address *
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Phone/Mobile *
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List website & all relevant social media handles (Facebook, Instagram, Twitter, etc) *
Your answer
Proposed Program Length *
Have you taught at Hollyhock or similar centre? If yes, please past provide: enrolment statistics, institution, location and dates.
Your answer
Which of the following best describes your program content (check all that apply) *
Required
Program Title *
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Please provide a brief description of your program *
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Please provide a short presenter biography *
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Do you have a publication? If yes, please provide title and year published.
Your answer
Do you have a co-presenter? *
Please provide co-presenter short biography
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Based on your current following, social media reach and email database, what is your expected enrolment? Why? *
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How do you intend to market your program? *
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Anything else you'd like to tell us about your work? (can include participant testimonials, media, links, etc)
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Do you have a Hollyhock connection/referral?
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Thank-you for your submission! We will be in touch soon.
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