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Proposal Submission Form
Please complete the following questionnaire in order to have your session considered for the upcoming conference . All submissions will be reviewed and final presenters will be informed on or before 2/15/20
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
How did you hear about the conference ?
*
Facebook
Instagram
Word of Mouth
Other (please indicate how you learned about the conference in the next question)
Optional: If you chose "other" above, please explain here
Your answer
What is the title of the session you are proposing ?
*
Your answer
Below please provide a short description of your session including core objectives and session outcomes.
*
Your answer
How will your session help parents in our community ? What will they walk away better understanding, knowing, or doing ?
*
Your answer
Will you be facilitating on behalf of an organization ?
*
Yes
No
If you responded YES above, please share the name of the organization(s) you represent below.
Your answer
Will your session require multiple facilitators
*
Yes
No
Please share the name of any co facilitator(s) below
Your answer
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