FEARLESS Program Recommendation
Use this form to tell the Program Team about your speaker or program idea. If your recommendation is accepted by a simple majority of the team members, it will be scheduled. Typically, the person making the recommendation takes responsibility for making all of the arrangements, such as inviting the speaker, lining up AV equipment if necessary, creating handouts, etc. Team members are available to help, but the person making the recommendation is the lead manager of the program.
Email address *
Your Name
Your answer
Your phone number
Your answer
Best way to contact you
Your mailing address if you clicked "Mail" above.
Your answer
Program Proposal (provide a one-paragraph description of your program idea, including a title and description of content)
Your answer
Program Presenter (provide a paragraph with the name and credentials of the person who would present the program)
Your answer
Program Take-aways (provide a paragraph describing the program's benefits for FEARLESS participants. A list of key take-aways is helpful)
Your answer
Which FEARLESS meeting would be most appropriate for this program? Check all that apply.
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