Presenter Application Submission Form
To be used by anyone wanting to approach to present for CYA Conference - if you have multiple ideas - please submit multiple entries.
Name
*
First Name
Last Name
Mobile Number
*
This will be used as your contact number
E-mail
*
Confirmation Email
Closest Major City
While it doesn't matter where you are from, it helps to know where you are situated for your flights.
Web Site
Twitter id
Instagram id
Facebook id
Your 100-word BIO & headshot
*
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About your application:
Which genre is your presentation aimed at?
*
Childrens
YA
Adult
General writing
Ilustrating
Other
Time frame
*
Workshop - 45minutes
Master Class - 90 minutes
Master Class - 3 hrs
Full day - 5 to 7 hrs
Other
Title of proposed workshop
*
Paragraph of proposed workshop
*
What is the tangible outcome of your workshop?
*
Attach files if you have any other information you want us to see
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CYA Comments
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AM/PM Option
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