Special Member Event Proposal

Special Member Event Proposal
Event Title: (Character Limit of 65.)*
Presenter Name*

First NameLast Name
Presenter E-mail (Please expect all correspondence to take place by e-mail):*
Presenter Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Presenter Phone Number*

Area CodePhone Number
Additional Presenter?*

Yes - there will be an additional presenterNo - there will not be an additional presenter
Additional Presenter Name*

First NameLast Name
Additional Presenter Email*
example@example.com
Additional Presenter Address*

Street Address

Street Address Line 2

CityState

Zip Code
Additional Presenter Phone Number*

Area CodePhone Number
MOLLI is using all of the following teaching platforms during each term. Please select all platforms you are willing and/or able to use.*

In-Person Only (Selection of this option may result in your event being postponed until a later term unless this event will take place outdoors.)Remote OnlyHybrid (Students synchronously attending in-person or remotely)
Select the session you would like to present:*

Fall [Aug 1 - Nov. 30] - Deadline to submit proposal: May 15Winter [Dec 1 - March 31] - Deadline to submit proposal: August 15Spring/Summer [April 1 - June 30] - Deadline to submit proposal: October 30
Event Format*

SpeakerPerformanceFilmDemonstrationOther
MOLLI Event Information

Our events typically run for 90 minutes. Presenters should be prepared to present for 60 to 80 minutes and allow time for questions. Please provide the following:
Topic and Explanation of the Educational Value and Benefit to Lifelong Learning. *
Description of topic and explanation of the educational value and benefit to lifelong learning, or in some circumstances, to community building. If you have presented this material previously, through MOLLI or elsewhere, please describe where and when.
Marketing Description of Event (125 word limit). *

0/125
Please provide presenter biography for the MOLLI catalog. *

65 Word Limit0/65
Please provide additional presenter biography for the MOLLI catalog. *

65 Word Limit0/65
Comments: (special travel arrangements, special or unusual equipment, additional expenses, scheduling issues, etc.)

65 Word Limit0/65
Please Note:

Presenters are not allowed to promote any product or partisan position. Additional specific scheduling information will be required by the MOLLI office if the event is approved.
Should be Empty:

Special Member Event Proposal

MOLLI Event Information

Please Note: