The Parent Empowerment through Education for the Lifespan of Children with Disabilities Conference
Request for Proposal

Question Title

* 1. Presenter Contact Information

Presenter Name:

Title/Credential (if applicable):

Organization/Agency:

Address:

City/Town:

State:

ZIP:

Phone Number:

Email Address:

Fax:

Question Title

* 2. Presenter Contact Information

Presenter Name:

Title Credential (if applicable):

Organization/Agency:

Address:

City/Town:

State:

ZIP:

Phone Number:

Email Address:

Fax:

Question Title

* 3. WORKSHOP TITLE:

Question Title

* 4. WORKSHOP DESCRIPTION (50 words or less): Workshop topics should be geared to professionals and volunteers who work with parents and families. The title and description should clearly reflect the content of the workshop. The description you provide will be adapted for use in the registration brochure.

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* 5. Length of workshop:

90 minutes

180 minutes

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* 6. Briefly describe your workshop format and presentation style (i.e., interactive, lecture, etc.)

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* 7. Workshop Focus (please check one): Indicate for which age range your topic is primarily focused and please make sure this is evident in your workshop description.

Early childhood

Middle childhood

Adolescence

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* 8. This conference is intended for parents, siblings, families and professionals who serve families. Please indicate audience limit:

up to 20

up to 40

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* 9. AUDIOVISUAL EQUIPMENT REQUIREMENTS: We cannot provide Computers, LCD projectors, TV/VCRs.
You must bring your own. We can provide the following equipment. Please check what you will need.

Screen

Easel chart with paper and markers

No AV will be needed for this workshop

Question Title

* 1. Presenter Contact Information

Question Title

* 2. Presenter Contact Information

Question Title

* 3. WORKSHOP TITLE:

Question Title

Question Title

* 5. Length of workshop:

Question Title

* 6. Briefly describe your workshop format and presentation style (i.e., interactive, lecture, etc.)

Question Title

* 7. Workshop Focus (please check one): Indicate for which age range your topic is primarily focused and please make sure this is evident in your workshop description.

Question Title

* 8. This conference is intended for parents, siblings, families and professionals who serve families. Please indicate audience limit:

Question Title

* 9. AUDIOVISUAL EQUIPMENT REQUIREMENTS: We cannot provide Computers, LCD projectors, TV/VCRs. You must bring your own. We can provide the following equipment. Please check what you will need.

* 9. AUDIOVISUAL EQUIPMENT REQUIREMENTS: We cannot provide Computers, LCD projectors, TV/VCRs.
You must bring your own. We can provide the following equipment. Please check what you will need.