MLC Workshop Information

Posted on November 27, 2018 by

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Presenter Name*
(As you would like it to appear on the website)
Presenter's Email*
Presenter Cell Phone*
Required for Registration
Are you the Primary Presenter?*
Position/Role*
Organization*
Bio (in 125 words or less)*
Head Shot*
Please do not include your dog or your prize winning petunia!
Do you have any medically necessary food restrictions? Please select from the options below.*

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In which track are you presenting? Please select from the drop down menu:*
Workshop Title*
Is this workshop a panel?*
Please list the names of all those sitting on the panel.*
Do you have a Co-Presenter?*
Name of Co-Presenter
Is there a 3rd Presenter?
Name of 3rd Presenter
The Primary Audience for this workshop is...*
Please be specific.
Workshop Description*
Your workshop description should pique interest by explaining what will be discussed during this workshop, and why. Be specific and highlight the key takeaways as outlined in your learning objectives. Learning objectives should clearly state the knowledge, skills, and abilities attendees can gain during your session. Start each learning objective with a measurable action verb and avoid words like understand, learn, and know. (in 125 words or less)

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Permission to Record
I affirm that all materials and content I will present do not violate or infringe the intellectual property rights of any person or organization. I grant Missio Nexus non-exclusive permission to use our(my) presentation(s) and/or teaching(s) from the Mission Leaders Conference in audio, video, live stream, and/or text format including the sale of said content both on site and after the event through the Missio Nexus website. This authorization is granted with the understanding the grantee(s) will not assert any copyright or deprive me of any other rights I may have in the material I present.*
- Yes
- No
If no, please indicate why in the Comments box.
Comments
Is there anything you want us to know?
Name of person completing this form.*
By submitting this form you are verifying you have consulted with the presenter (or you are the presenter) who is in agreement with the answers.
Upon completion, be sure to save and send the link to your Track Leader.

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Permission to Record