Speaker/Workshop Proposal Form – CHW & Doula Conference 2025
Full Name
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Organization (if applicable)
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Phone Number
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Breakout Session Details
Session Title
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Session Format (Choose one):
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Interactive Workshop
Panel Discussion
Lecture/Talk
Healing Practice or Demonstration
Performance or Storytelling
Description of Session (150–300 words)
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Intended Audience (CHWs, Doulas, Both, General Public)
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Preferred Day(s) to Present
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Thursday (CHW Day)
Friday (Bridge Day)
Saturday (Doula Day)
No preference
Are you a CHW, doula, or lived experience expert?
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Any accessibility or tech support needs?
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Upload a bio or CV (optional)
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Next Steps & Confirmation Message:
Thank you for your proposal! Our team will review all submissions and reach out with next steps by July 15, 2025
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