Workshop Application Form

(All applications due by March 31, 2024)

Questions about presenting a workshop? Please contact Lynnie Levy

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone

(###)

###

####

Title of Workshop

Subject/Material to be Covered

Brief Description of Workshop

100 Words or Less - To be included in the Gathering flyer

Presenter Bio

50 Words or Less

Is this your original material?

If not, please list original source material

What are your site needs?

How much space will you need? Will you need tables? Chairs? Open Space? Assistance carrying your materials?

Do you require any other items for your workshop?

Ex.: Projector/Easel/Etc.

Content Link Block

Select a page and create a visual link to it. Learn more