RPCN Event Scheduling Form 2025

Event Scheduling Form
This form is used by RPCN to schedule upcoming events. The information entered here will be used internally to create event web pages, registration links, email notifications, marketing material, etc.

* required fields

Select your event type to get started...
Choose Event Type:*

Friday Morning PresentationEHC Deep DiveWorkshopSpeed NetworkingSocial Gathering
Friday Morning Presentation

2nd & 4th Fridays
Preferred Date*

MonthDayYear
8 - 9:30am ET (open networking until 10am ET)
Alternate Date

MonthDayYear
8-9:30am ET (open networking until 10am ET)
Topic/Title of Presentation*
Note: RPCN may change the title and/or the wording for marketing purposes.
Speaker/Presenter's Name*

First NameLast Name
Email Address*

Confirmation Email
Phone *
The speaker's location will be*

In Person at 2800 Dewey Ave, Rochester, NY 14616Online using Zoom
Presentation Overview*
Key Takeaway #1*
Key Takeaway #2*
Key Takeaway #3*
Presenter's short BIO:*
Photo for Bio*
File Upload

Cancelof
OK, RPCN will use a previous photo.
Referred by:
(if applicable)
EHC Deep Dive

Deadline - Monday before the current Deep Dive
Date of Deep Dive*

MonthDayYear
3rd Thursday of month, 11:30 am - 1:00 pm ET
Facilitator's Name*

First NameLast Name
Email Address*

Confirmation Email
Phone Number
Topic*
Topic Overview*
Facilitator's BIO*
Photo for BIO*
File Upload

Cancelof
OK, RPCN will use a previous photo.
RPCN Workshop

Deadline: 21st of the month
Preferred Date*

MonthDayYear
Date
Start Time*

Eastern Time (ET)

AM/PM Option
End Time*

Eastern Time (ET)

AM/PM Option
Facilitator's Name*

First NameLast Name
Email Address*

Confirmation Email
Phone Number
Topic/Title*
Topic Overview*
Key Learning #1
Key Learning #2
Key Learning #3
Facilitator's BIO*
Photo for BIO*
File Upload

Cancelof
OK, RPCN will use a previous photo.
Speed Networking
Date*

MonthDayYear
Date
Start Time*

Eastern Time (ET)

AM/PM Option
End Time*

Eastern Time (ET)

AM/PM Option
Speed Networking with:*
Organization RPCN will be speed networking with
Contact Person (RPCN)*

First NameLast Name
Email Address*

Confirmation Email
Phone Number
Contact Person (other organization)*

First NameLast Name
Email Address*

Confirmation Email
Phone Number
Program Overview*

Want to expand your network and/or deepen your networking relationships? Speed Networking is a method for you to accomplish these goals, efficiently! Speed networking is a fun chance to meet lots of peers from diverse business and cultural backgrounds, and start dialogues that can lead to meaningful professional and social connections. It’s also a great, no-pressure opportunity to hone your “elevator speech” and listening skills so you can be prepared for those times when a fast, good first impression is crucial.
Additional Details (optional)
Registration Link
(If not hosted by RPCN)
Social Gathering

Happy Hours, Galas, Ice Cream Socials, Cruises, etc.
Date*

MonthDayYear
Date
Start Time*

Eastern Time (ET)

AM/PM Option
End Time*

Eastern Time (ET)

AM/PM Option
Event*
Ex. Casino Night, Cruise, Surprise Thursday
Location
Address

Street Address

Street Address Line 2

CityState

Zip Code
Name of RPCN Coordinator*

First NameLast Name
Email Address*

Confirmation Email
Phone Number
Event Overview*
Name (submitter)*

First NameLast Name
Email (submitter)*
Should be Empty:

Event Scheduling Form

Friday Morning Presentation

RPCN Workshop

Speed Networking

Social Gathering