#OneHoward Live Presenter Interest Form

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Thank you for your interest in participating in Howard County's first #OneHoward Live event. This event is in collaboration with several organizations across Howard County and our theme is "Celebrating Diversity, Strengthening Community." We are looking for enlightening presentations to promote dialogue and inclusion. Because everyone’s story is important, we want to hear from people of all backgrounds, especially students!

The event will be held at the HCC Smith Theatre (in the Horowitz Building) on June 16, 2018 at 2:00pm. The event will include a day of presenters, inspirational videos, and opportunities for audience discussion. Afterwards, audience members are invited to The Longest Table, a dinner event hosted by the Howard County Library System at Howard Community College, where guests will meet other members of the community for dinner and engage in conversations about their community and its future.

If you have a story, performance, testimony, or multimedia presentation you would like to share with the community, please fill out the form below no later than May 1st. If you have any questions about this application or presenting on June 16th, please email ahoward@howardcountymd.gov. We are excited to hear your responses, and hope to see you at #OneHoward Live!

First Name *

Last Name *

Home Address *

Phone Number: *

If under 18, please provide the name of your parent/guardian.

Parent/guardian email address

What age range do you fall into? *

How long would you envision your presentation? *

This is just a rough estimate. Times do not need to be exact.

5 minutes

8 minutes

12 minutes

18 minutes

The focus of our event is to celebrate the diverse experiences/perspectives that exist within Howard County, while also striving to find and highlight inclusive ways of being a community. If you are chosen to present, in what ways will your material support this focus? *

You also have the option to record a 90 second video to give your application a personal touch using this Flipgrid link.(https://flipgrid.com/b71a4a)

This video will only be used for selection purposes.

(Over 18) I have submitted a Flipgrid video.

(Under 18) I am the parent/guardian of the applicant and I grant permission for my child to submit a Flipgrid video.

By presenting at #OneHoward Live, you consent to interview(s), photograph, audio recording, and video recording, and to their publication, exhibition or reproduction by Howard County Government and HCPSS for news, promotions, web posting, televising or other purposes. You waive all rights to claims for payment in connection with the use of these interviews, photographs, audio recording and video recording. *

(Over 18) I agree to this waiver.

(Under 18) I am the parent/guardian of the applicant and I agree to this waiver for my child.

Required

Electronic Signature *

If under 18, please provide signature of parent/guardian.

Submit

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