Workshop Presenter

Please use this form to provide VCIC with all pertinent information for your workshop. Information entered on this form may be reproduced to market the conference and other VCIC programs. This form also serves as your registration for the conference. You will not need to complete a separate registration form. If you have any questions or concerns, please reach out by phone at 804-515-7950 or send an email to Jacquie or Katie.
Please write your title and organization/affiliation as you want in print.
Provide a phone number you can be reached on the day of VIS (cell preferred)
If you would like to, please provide your or your organizational social media handles (Facebook, Twitter, Instagram, LinkedIn, etc). These will be added to your profile on the event website, so only provide if you want VIS attendees to have access.
Please provide a short professional bio for marketing purposes. (Max 175 words)
only if you would like to suggest a different title other than listed in the invitation. (Max 175 characters)
Please include a description of your workshop. (Max 100 words)
Please write 4 sentences listing the goals/outcomes you expect attendees to take away from your workshop. (Max 150 words)
As the conference will be conducted virtually, we want to confirm that you have equipment at your home/work to facilitate virtually.
Each session will have an assigned individual to handle tech support. We plan to hold rehearsals to make sure everyone is comfortable with using the technology. Having a general sense of each facilitator's knowledge of presenting online will be helpful as we plan. On the scale below, please indicate your level of familiarity in leading or facilitating online sessions (0 = not familiar and 10=very familiar)
Please upload a Head/Shoulders photo now. You may also use this form to submit your PPT, handouts, etc. closer to the Summit. If your files are too large, please send directly to Jacquie.
Please share any specific needs that should be considered as we plan for the conference (i.e., hearing impaired, vision impaired, etc.)

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