Fangaea Panelist Registration Form
Thank you for your interest in participating in Fangaea 2020!
Fangaea will be taking place on September 19, 2020 at the Scottish Rite Event Center, located at 1895 Camino Del Rio S | San Diego, CA 92108
Contact us at (619)261-3524 or fangaeacon@gmail.com
www.fangaea.us
Name (First, Last) *
Include stage name(s) and indicate if that is how you are to be introduced or listed.
Your answer
Email *
Your answer
Phone Number *
Your answer
Organization / Affiliations (Group, Company)
Your answer
Are you interested in participating in a traditional panel discussion (General Panels) or in an interactive workshop (Dynamic Room)? *
What panel topic, discussion, or workshop are you proposing? *
Please provide (tentative) name, summary of topic, and format (including if this is a solo or group panel, if it is interactive with audience participation, etc).
Your answer
What genre does your proposal fall under? *
Check more than one if applicable. Check "Other" and describe if none of the below apply.
Required
Do you need any AV equipment beyond a microphone(s), and if so, what?
This can include projector, laptop, CD player, additional tables, etc. Items must be a reasonable request. Or you can just write microphone if nothing is needed.
Your answer
Is your interest in being the sole facilitator, a panel member, or a moderator? *
Sole facilitator means you are the only panelist or the only one conducting a workshop.
Please provide a three to four sentence biography. *
This biography will be used for our convention booklet, website, and as your introduction by the moderator to the panel audience. We will be requesting a head shot or logo for the website and program book.
Your answer
What is your panel/presentation experience? What other conventions or events of a similar nature have your participated in? *
Your answer
Relevant links, websites, videos, etc
Your answer
What is your preferred time of day to present or participate in a panel/workshop? *
You may choose one, more than one, all times, or the "It Doesn't Matter" option. Times are not guaranteed and are assigned on a first come, first assigned basis, so choose more than one option.
Required
Anything else you would like to include that our questions missed? *
Your answer
How did you hear about Fangaea and this opportunity? *
Your answer
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