JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2013 NORTHERN CALIFORNIA PERMACULTURE AND TRANSITION CONVERGENCE - October 11-13 - Hosted by Solar Living Institute - Hopland, CA
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First & Last Name
*
Your answer
City
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Proposed Session Title or Topic
*
Your answer
Are you proposing this as a session YOU could lead or a topic you'd LIKE TO SEE offered (by someone)?
*
I will lead or facilitate the workshop
I would like to see it offered
Required
Session Description
*
Brief paragraph describing what will be covered and what attendees can expect to come away with (or, if you're suggesting a topic for someone else to deliver, expand on your idea).
Your answer
Proposed Session Length
*
Choose
30 min session
45 min session
1 hr session
1.5 hr session
Other
Proposed Session Day/Time
*
There are no guarantees on day & time availability
Choose
Friday - Afternoon
Saturday - Morning
Saturday - Afternoon
Sunday - Morning
Sunday - Afternoon
Other
Session Format
*
Choose
Lecture/Presentation
Panel Discussion
Demonstration with audience observation
Hands-on with audience participation
Open Space Format
Arts, Magic, Fun, Entertainment
Session Category or "Track" For Learning Events
If we are able to organize sessions into logical tracks, we will. Select all that might apply...
New to Permaculture
Advanced Permaculture
Zone 00 - Self Care, Health, Spiritual Well Being
Kids and Youth
Community, Social Permaculture
Land Tenure
Community Governance
Nature Stewardship
Green/Earthen Building
Tools And Technology
Education
Culture
Skill Share
Hands-On Project
Educational Exhibit
Presenataion Format
Discussion Format
Other:
Session Resources
Describe what you might need, if applicable. If "other" use comment box at the end.
LCD Projector
DVD/Television
Laptop
Easel/Flipcharts/Markers
Other:
About You
If you are leading the workshop, please provide a short bio that relates your experience with the topic. Please also email us a bio photo to:
workshops@permacultureconvergence.com
. Approved workshops will be featured on the Convergence website.
Your answer
What Bio-Region are you representing?
Sonoma
Marin
San Fransisco
East Bay
South Bay
Santa Cruz
Peninsula
Napa
Solano
Contra Costa
Lake County
Mendocino
Humboldt
Trinity
Shasta
Yreka / Fort Jones
Siskiyou
Chico
Sacramento
Nevada City
Big Sur
Santa Clara
Alemeda
San Mateo
Monterey
Mariposa
Fresno
San Luis Obiespo
San Benito
Santa Barbara
Los Angeles
Orange County
San Diego
Other:
Clear selection
Comments / Other
Anything else you would like to say about this potential session or about the Convergence in general?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report