NCGE Webinar Series Proposal Submission

You may submit as many proposals as you would like for consideration, however, you must complete and submit a separate form for each proposal.

Primary Presenter Information

First Name *

Last Name *

Email *

Phone *

Address 1 *

Address 2

City *

State/Province *

Territory

Country *

Zip *

Professional Information: *

If "other," please specify:

Are you a member of an NCGE State partner/Geography Alliance? *

Yes

No

If, "yes," which one?

Co-Presenter Information (if applicable):

Please note: All co-presenters must be an NCGE member in good standing.

#1 Co-presenter full Name:

#1 Co-presenter email:

#1 Co-presenter Professional Role:

#2 Co-presenter full name:

#2 Co-presenter email:

#2 Co-presenter Professional Role:

Session Information:

Please Note: All sessions are scheduled as 45 minute webinars. If your session is longer, consider presenting as a Part I and II series, etc.

Session Title: *

Format (Select only one): *

Target Audience (Select only one): *

Primary Focus (limited to 3 keywords separated by commas): *

Secondary focus (must directly connect to your presentation): *

If "other," please specify focus:

Abstract (Describe your session - 200 word limit, you may use additional space below if needed): *

Abstract continued:

Objectives (identify no more than 4): *

Content/Skills: *

Strategies: *

Are you comfortable with technology use (specifically Zoom)? *

I acknowledge and understand that all presenters are required to be NCGE members in good standing at the time of presenting. I also understand that as the "lead" presenter it is my responsibility to keep my co-presenters upto date with any important information sent from NCGE about the session *

I also understand that presenters are responsible for providing any materials they plan to use or distribute in their presentation and that NCGE does not reimburse for these materials, etc. *

I consent to the collection and use of my personal information, including receiving emails, for activities related to the participation in the Webinar Series. I have also obtained the consent of all other individuals whose information I provided on this form. *