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Queer Texas Conference Workshop Interest Form
If you are interested in putting on a workshop for our conference please fill out this form.
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* Indicates required question
Name of Presenter(s)
*
Please include each name first and last separated by a comma if more than one Ex: Jane Smith, John Doe
Your answer
Preferred Gender Pronoun
Ex: He/him, Ze/hir, She/her, They/their, etc.
Your answer
Titles or position if any
Ex: Director of GSC, President of GSA, etc.
Your answer
Name of Affiliated Organization, if any
Ex: School, Organization, Business, etc.
Your answer
Contact Phone Number
*
(XXX) XXX-XXXX
Your answer
Contact Email
*
xxxx@xxx.xxx
Your answer
Would you be willing to do your workshop more than once
*
This would put it at multiple times during the day, you can also do different workshops if you'd like
Yes
No
Different workshop
What time are you NOT available to present
*
Otherwise we assume you can do a workshop at any time
9 am
9:30 am
10 am
10:30 am
11 am
11:30 pm
12 pm
12:30 pm
1 pm
1:30 pm
2 pm
2:30 pm
3 pm
3:30 pm
4 pm
4:30 pm
Other:
Required
Briefly describe the workshop(s) you would like to lead.
*
If you don’t know what workshop you’d like to lead, please describe your areas of interest and/or expertise.
Your answer
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