Workshop Proposal Form 2018

Workshop Proposal Form

Lesbian Health & Wellness: Empowering You to Thrive, Body and Soul.
Primary Facilitator Information
Name*

First NameLast Name
E-mail*
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Phone Number*

Area CodePhone Number
Address

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Presenter Bio*

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Will you be travelling from outside of Southern California? If Yes, Where from?*
CIty and State
Degree (not a requirement) (if applicable- i.e. H.S., B.A., B.S., Ph.D., MSW, LMFT, etc.)*
Presentation Topic 15-30 min

Weight Loss, Medication and Natural HealingMental Health & WellnessHatred/Discrimination-Masculine Centered LesbianEnvy and JealousyDomestic ViolenceThe Empath and NarcissistThe Lesbian UHAUL TheoryTrauma BondingRe-EntryBlack Hair CareFoster CareThe Lesbian FamilyMeditation and ManifestationAlignmentReligion and SpiritualityTransgender AdvocacyLesbian Elders AdvocacyImmigrationEntertainment IndustrySex TraffickingHIV/AIDSAlcohol and Drug AddictionVictims of ViolenceBusiness StrategiesSexually Transmitted DiseasesCancer SurvivorDiabetes and High Blood PressureGrief and LossExperiencing HomelessnessHealthy Food AlternativesHumility and GratitudeOther
Brief Description of Your Qualifications (why are you qualified to present on this topic?)*
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Presenter Resume*

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Presenter Headshot/Photo*

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Agency, Company, Organization or School*
Are you interested in participating on the Panel Discussion ?*

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