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Workshop Proposal


* Bold text - denotes required information

Workshop Information

This section will be used in all publicity materials including program book and this Website.

Title of Workshop:
Presenter/s:
Description of Workshop:

Contact Information
Address:
City:
State:
Zip Code:
Voice Phone#:
TTY Phone#:
Videophone/ IP#:
E-mail:

Accommodations

*** All fields below are required.

Technology needed for your presentation. Please be as specific as possible.


Do you need an interpreter? If yes, indicate which kind (voice, sign language, and/or tactile/close vision) and for which presenter/s.

Do the presenter/s use:
American Sign Language
PSE
Signed English
Voice


How many people can attend your workshop?


Who is your target audience? Deaf, Hard of Hearing, Hearing, Deaf-Blind, Children (indicate age range), Adults, and/or Other (please describe)?


Do you have a specific day/time that you must present or are you flexible with when you can do this?


How long is your workshop?


If your already have an event planned and a location secured, please indicate here and give all pertaining information. Date, Time, Location, Parking, Web link to a Website, etc.


Additional Information/Comments:


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