Contact Information
Please provide the contact information of the person who will be the primary point of contact in coordinating the workshop. This does not have to be the presenter.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
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Workshop Information
Titles, descriptions, and presenter bios are subject to reasonable edits by USPC.
Workshop Title
*
Desired Workshop Time
*
45 minutes
75 minutes
Other
Days Available to Present
*
Friday Afternoon
Saturday
Sunday
Please provide a brief description of your workshop. We will use this in promotional material. (100 words or fewer). If you are using the same information as in years past, please re-type or copy and paste the information, otherwise this application will not be in consideration.
*
0/100
Please provide an outline of information you plan to cover in your workshop. If you are using the same information as in years past, please re-type or copy and paste the information, otherwise this application will not be in consideration.
*
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Presenter Information
You MUST have a presenter already committed to presenting the workshop before submission.
Presenter 1 Name
*
First Name
Last Name
Presenter 1 Email
*
example@example.com
Presenter 1 Phone Number
*
Please enter a valid phone number.
Presenter 1 Bio (150 words or fewer)
*
0/150
Presenter 2 Name
First Name
Last Name
Presenter 2 Email
example@example.com
Presenter 2 Phone Number
Please enter a valid phone number.
Presenter 2 Bio (150 words or fewer)
0/150
Presenter 3 Name
First Name
Last Name
Presenter 3 Email
example@example.com
Presenter 3 Phone Number
Please enter a valid phone number.
Presenter 3 Bio (150 words or fewer)
0/150
Please upload a photo we may use in promotions. It may either be a photo of you, or pertaining to the subject of your workshop.
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Please only submit photos you own.
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Room Set-Up and Technology/AV Needs
All workshop rooms come standard with a LCD projector and screen. Please plan to bring your own laptop. Please make sure that your PC has a HDMI connection. If you have a Mac, please bring a HDMI adapter, none will be available onsite.
If you have special requests or needs, please list them below.
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