2019 Safe Routes to School Conference Proposal Application
2019 Safe Routes to School Conference: Active Travel for Equitable and Healthy Communities

Instructions: Please review the information about the 6th Safe Routes to School Conference call for proposals on the website as you complete this application: http://saferoutesconference.org/program/.

Once begun, the application form cannot be saved and opened again. We encourage you to view a PDF of the application form here: https://bit.ly/2LqlnHX, compose your answers in a word processor, and input them here when you are ready to submit.

Applications are due by 11:59 PM PT on February 22, 2019.

The Safe Routes to School National Partnership is a national nonprofit that works to advance safe walking and bicycling to and from schools, to improve the health and wellbeing of kids of all races, income levels and abilities, and to foster the creation of healthy communities for everyone.

Please complete all questions on the form. If we have any follow-up questions, we will contact the person listed below.

If you need assistance or have questions about this application, contact molly@saferoutespartnership.org.

Email address *
Contact Information
First Name *
Your answer
Last Name *
Your answer
Job Title *
Your answer
Organization Name *
Your answer
City *
Your answer
State *
Your answer
Proposal
Proposal Title *
Your answer
Theme *
Please pick the theme that best matches your session. See full descriptions here: http://saferoutesconference.org/program/
Format *
Please pick the theme that best matches your session. See full descriptions here: http://saferoutesconference.org/program/
Abstract *
(250 words)
Your answer
Learning Objectives *
What will attendees walk away from your session with? You are not limited to these, but some examples include: attendees will learn how to conduct a walk audit, feel more confident talking about equity and transportation, learn strategies to fund programs through local transportation policies. (50 words each)
Your answer
Equity
The following questions aim to help the conference planning committee develop a program that brings together people with diverse backgrounds and experiences, and centers equity as a core component of creating healthy, active communities.
As noted above, we will prioritize sessions that include equity, diversity, and inclusion. Please describe how your proposed topic and/or proposed presenter(s) incorporates equity, diversity, and inclusion in active transportation. *
(200 words or less)
Your answer
Identify how the proposed panel of speakers represents a diversity of lived experiences (e.g. race, color, national origin, gender, age, ability, income, languages, disciplines). You may wish to seek input from your co-presenters about how they identify. If you are submitting as a standalone presentation or solo, please answer for yourself. *
(50 words per speaker is sufficient)
Your answer
Proposal Details
Has this session been offered at a previous conference? *
If yes, please note the conference and the year.
Your answer
Is there anything else you would like the reviewers to know about your proposal?
Your answer
Co-presenter information
If you are working with others on your proposal, please note their contact information below. If you don't have co-presenter information at this time, please scroll to the bottom to submit.
Co-presenter 1
Full name, email, title, organization affiliation, and phone number
Your answer
Co-presenter 2
Full name, email, title, organization affiliation, and phone number
Your answer
Co-presenter 3
Full name, email, title, organization affiliation, and phone number
Your answer
Co-presenter 4
Full name, email, title, organization affiliation, and phone number
Your answer
A copy of your responses will be emailed to the address you provided.
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