Presenter Application
Welcome to DIC5 Call for Presenter Application
Thank you for your interest in presenting at the DIC5 Conference. Please note that submitting this application does not automatically register you for the conference. Once presenter selections are finalized, selected presenters will be guided through the steps to complete their presenter agreement and registration between March - April 2026. If you plan to attend the full conference, we encourage you to register now to secure your spot.
Section 1: Presenter Information
1. Name
*
First Name
Last Name
2. Email
*
example@example.com
3. Phone Number (Text)
*
Please enter a valid phone number.
Format: (000) 000-0000.
4. Presenter Occupation
*
5. RID Member Number. Please enter N/A if you are not a member.
*
6. Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
7. Presenter Bio (100-word limit)
*
8. Presenter Image (File Upload Max 10MB)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
9. Presenter Resume/Vitae (File Upload Max 10MB)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
10. Do you have a co-presenter?
*
Yes, please type your co-presenter's name
No
11. Co-Presenter's Full Name
Section 2: Dates Available to Present
12.Select the date(s) you are available to present.
*
Tuesday June, 23, 2026
Wednesday, June 24, 2026
Thursday, June 25, 2026
Friday, June 26, 2026
Section 3: Reasonable Accommodation
13. If you require reasonable accommodation to participate, please describe your request below.
Section 4: Workshop #1 Information
Please fill out your proposed workshop in the form below.
14. Is this your first time presenting this topic?
*
Yes
No
15. Workshop Title
*
16. 1 Minute Pitch: If you are selected as a presenter, this video may be used as a spotlight feature in DIC5 promotional materials and social media. Please fill this box with a one-minute YouTube video link (unlisted).
*
17. Workshop Description (2 - 3 sentences)
*
18. Workshop Abstract (150-word limit)
*
19. Workshop Objectives - (List a minimum of three specific measurable actions that demonstrate comprehension and integration.)
*
20. Workshop Format:
*
Presentation (lecture-style with Q&A)
Panel (multiple presenters sharing perspectives)
Interactive Session (audience engagement, discussion)
Skills-Based / Hands-On Workshop (practice, activities, demonstrations)
Community Dialogue / Roundtable (collaborative conversation)
Other: _________________________
21. Workshop Length
*
1.5 hours
2 hours
3 hours (2 parts, 1.5 hours each)
22. CEU Type
*
Professional Studies (PS)
General Studies (GS)
Power Privilege, and Oppression (PPO)
23. Participant's Level of Knowledge
*
Little / None
Some
Extensive
Teaching
24. Media / Materials (List all print, audio, and visual materials. Indicate who will provide them.)
*
25. Evaluation and Assessment (Describe how you will assess participant learning during and after the workshop.)
*
Section 5: Workshop #2 Information (Optional)
If you would like to propose another workshop, please fill out the form below. if not, please skip to Section 6.
26. Is this your first time presenting this topic?
Yes
No
27. Workshop Title
28. 1 Minute Pitch: If you are selected as a presenter, this video may be used as a spotlight feature in DIC5 promotional materials and social media. Please fill this box with a one-minute YouTube video link (unlisted).
29. Workshop Description (2 - 3 sentences)
30. Workshop Abstract (150-word limit)
31. Workshop Objectives - (List a minimum of three specific measurable actions that demonstrate comprehension and integration.)
32. Workshop Format:
Presentation (lecture-style with Q&A)
Panel (multiple presenters sharing perspectives)
Interactive Session (audience engagement, discussion)
Skills-Based / Hands-On Workshop (practice, activities, demonstrations)
Community Dialogue / Roundtable (collaborative conversation)
Other: _________________________
33. Workshop Length
1.5 hours
2 hours
3 hours (2 parts, 1.5 hours each)
34. CEU Type
Professional Studies (PS)
General Studies (GS)
Power Privilege, and Oppression (PPO)
35. Participant's Level of Knowledge
Little / None
Some
Extensive
Teaching
36. Media / Materials (List all print, audio, and visual materials. Indicate who will provide them.)
37. Evaluation and Assessment (Describe how you will assess participant learning during and after the workshop.)
Section 6: Lodging
As part of your compensation, presenters will be provided lodging in the CSUN Housing. If you are selected as a presenter and chose to stay for the full week, the conference will cover the full lodging fee.
38. If selected, will you be interested in staying at the California State University, Northridge (CSUN)?
*
Yes
No
Section 7: Submission Confirmation
By signing below, yourself as a presenter, “I confirm that the information provided is accurate to the best of my knowledge. I understand this submission does not guarantee selection and that DIC5 reserves the right to schedule, edit, or modify workshop times as needed.”
39. Entering your name below serves as your electronic signature
First Name
Last Name
40. Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: