JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Platform Recommendation
Thank you for submitting information about the speaker or workshop leader you wish to recommend. This form provides the capability of a search for potential platform guests through a number of response fields. Your time and interest to complete the form are greatly appreciated. Recommendation forms will be kept on file for five years.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Your Name:
*
Your answer
Your contact information:
*
Your answer
Date
*
MM
/
DD
/
YYYY
You are:
*
A member of the Assembly
I rent a home at the Assembly
I am the Platform presenter
Other:
Name of recommended Platform presenter
*
Your answer
You am recommending this person as a
*
Keynote speaker
Weekday lecturer
Performer
Workshop instructor
Writers Grove reader
Has this person presented at the Assembly in the past?
*
Yes
No
Please provide contact information for this person.
*
Your answer
What topic category(ies) would this presentation include?
*
Agriculture, farming, gardening
Architecture
Computer, technology, cyber safety, artificial intelligence
Culinary
Current Events
Environment/Ecology
Fine Arts: Music, theatre, film
Fine Arts: Sculpture, painting
History, American
History, World
Home/decorative arts:
Medicine, Health
Politics, American
Politics, International
Psychology, Social science
Religion, theology, ethics
Science,
Travel, exploration
Other:
Required
If an author, please provide the book title and date of publishing.
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
