Eshel Retreat Presenter Form

Thank you for your interest in presenting a session at the Eshel National retreat on January 17-19, 2014!

Our theme this year is Celebrating Our Diversity- Making Us Stronger.
We are spotlighting the Sephardic/Mizrahi experience. Not all sessions need to address this topic.

Please take a moment to fill out this form so we can gather information on what you would like to teach. For each session idea, please submit a separate form. Once we have a number of submissions we will get back to you.

Our goal is to create a vibrant, educational and inspiring program with a variety of topics and learning modalities.

If you have questions about what to teach, contact info@eshelonline.org and someone will get back to you.

Thanks!
The Program Planning Team

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* 1. What is the title for your session?

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* 2. What is the content of your session?

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* 3. What category would you put this session under?

Text Study

Facilitated Discussion

Lecture

Experiential Learning

Other (please specify)

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* 4. Who is the audience for this session?

Trans people

Lesbians

Gay men

Bisexuals

Sephardic

Ashkenazic

Adults (18+)

All of the above

Other (please specify)

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* 5. Describe your past experience teaching and facilitating discussions:

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* 6. Have you taught or facilitated a group at an Eshel retreat before?

Yes

Other

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* 7. Please give us a brief bio about yourself. (approx. 50-75 words)

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* 8. Your contact information:

Name: *

State:

ZIP:

Email Address: *

Phone Number: *

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* 9. Can we list your name on our website for publicity purposes?

Yes

Other (please specify)