NERSC Webinar Presentation Form
Webinars will be live, using Zoom.  Please note that NERSC will be charging a small fee to attendees for this webinar. We will be in touch with you to schedule a date.  
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Presenter Full Name *
Presenter Email
Presenter Cell Phone *
Company Name *
Title *
Company website. Please include "http://" when submitting.
Address (Street, City, State & Zip) *
Brief Bio *
Webinar Title *
Webinar Description (3-4 sentences) *
Please list 3 training objectives *
3 Reference materials that you used to develop the content of this webinar (Articles, books, magazines, etc.) This is required for us to issue CEUs. *
Webinar Level (check all that apply) *
Required
Webinar Track (check all that apply) *
Required
Webinar Format (check all that apply) *
Required
Webinar Length *
Do you need us to limit the number of attendees? *
If yes, what is the maximum number of attendees?
Which month would you like to present? *
Required
If 2024, which month(s)?
What time of day would you like to start your presentation? *
Are you requesting a fee from NERSC for your presentation?   *
If yes, what is your fee? *
Do you have experience presenting on Zoom? *
Required
Which better describes your presentation needs? *
May we record the webinar and use it for no additional fee in the future on our on-demand learning platform? *
Please add any additional notes here. *
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