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2023-24 Skill Builder! Registration Form
After completing this form, if we do not already have a picture of you to use, please email a headshot of you and your co-presenter (if applicable) to brenlars@nmu.edu. Thank you!
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Presenter Name:
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Your answer
Presenter Email:
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Your answer
Presenter Phone Number:
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Your answer
Presenter Title/Occupation:
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Your answer
Please provide a short biography (2-3 sentences)
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Your answer
Co-presenter Name(if applicable):
Your answer
Co-presenter Email:
Your answer
Co-presenter Phone Number:
Your answer
Co-presenter Title/Occupation:
Your answer
Workshop Title:
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Your answer
Categories (please select all that apply):
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Diversity, Equity, and Engagement
Leadership
Service
Personal Development
Professional Development
Health
Sustainability
Civic Engagement
Required
Please list and describe what you hope your audience will learn as a result of your workshop:
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Your answer
If you presented this workshop previously, would you like to use the same description?
Yes
No
Clear selection
If no, please write a new description (up to 50 words):
Your answer
If you presented a workshop previously, would you like to use the same picture of you?
Yes
No
Clear selection
Desired date and time for workshop (please list a few, as we try to schedule workshops around campus events/activities and keep in mind that engagement is better in the evenings):
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Your answer
Minimum attendance:
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Your answer
Maximum attendance:
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Your answer
Workshop charge (if applicable):
Your answer
Workshop type:
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Indoors/Classroom
Outdoors
Virtual (Zoom)
Desired room setup (if indoors):
Block (closed center; seated around outside)
Table Podium
Chairs in a Circle
U-Shaped (seated outside the "U")
Classroom (tables and chairs)
Theatre (chairs only, no tables)
Clear selection
Audiovisual Equipment Needs (select all that apply)
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Whiteboard
Flip chart with Paper
Laptop projector (you must provide laptop; need at least two days advance notice)
Screen
TV/VCR
Speakers
None of the above
Required
Any special requests?
Your answer
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