Presenter_application

Workshop Presenter Application Form

Thank you for your interest in presenting at Choral Mosaic 2020. Please complete this form to submit your formal request to lead one of our workshops.

If you have any questions as you complete the below form, please contact us at presenters@choralmosaic.com. We will respond within 24 hours.

Please note that incomplete form cannot be saved.

Personal Information

* Indicates required field

Name *

First

Last

Title *

organization name *

Full name of primary contact if other than you *

Phone Number *

Email *

Website Address *

Full mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Brief Bio (100 words or less) *

Please upload a photo *

Max file size: 20MB

Presentation Details

Title of the Presentation *

Brief summary/description of the presentation *

LIST THE TOP 3 LEARNING OBJECTIVES OF YOUR PRESENTATION

OBJECTIVE 1 *

OBJECTIVE 2 *

OBJECTIVE 3 *

Are you available to present on the following dates/times? *

June 25, 2020 from 1pm – 2pm June 26, 2020 from 10:30am – 11:30am June 26, 2020 from 2:15-3:15pm June 27, 2020 from 10:15am – 11:15am

Do you have a preference for any of the above dates/times? *

References

Link to sample presentation or leadership/teaching video (if available) *

Reference Name *

First

Last

REFERENCE TITLE *

Organization *

Reference Phone Number *

Referrals

If you know of others you think would be great presenters for Choral Mosaic 2020, please let us know their name and phone number and we’ll reach out to them.

Potential Presenter Name *

First

Last

Potential Presenter Title/Organization *

Potential Presenter Phone Number: *

Potential Presenter Email Address *

By submitting this application, I certify that:

I am available for the date(s) designated above;
I understand that if selected, Choral Mosaic will provide only a nominal speaking honorarium. Choral Mosaic will not cover expenses such as travel tickets, lodging, meals, transportation or other expenses;
I agree to abide by the deadlines and other conditions of presenting that will be outlined by the Choral Mosaic upon my selection to lead a workshop;
I understand that my conference presentation is not a showcase for promoting my business, practice or product, and I will not sell my products or services from the speaker platform;
I acknowledge availability to speak during any timeframe of the event and as such will not request a change to the session time frame assigned, if selected.
I agree to make no substantial changes to workshop content, format, audio/visual needs or room set-up, without prior approval from Choral Mosaic;
I agree to design and provide high-quality presentations, in electronic format, by the deadline given;
I agree to give Choral Mosaic permission to record my workshop session (audio and/or video) for promotional purposes;
I agree to submit my professional bio plus picture and summary updates or blog material for promotional/marketing activities before and during the event. I also agree to be available for press interviews, if requested.

WAIVER *

I have read and understand the above statement.

If you have any questions prior to submitting your request to lead a workshop at Choral Mosaic 2020, please contact us at presenters@choralmosaic.com

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