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Program Interest Form

Please read over our Program Proposal Guidelines before filling out this form.

List your website, LinkedIn, YouTube, etc.
Suggest a concise, attention-getting title for your program.
Provide a short description of your program, including format and any activities.
Example: 1 session for 2 hours
Will you be providing any materials for your workshop?
Do you have any audio-visual requirements (ex: projector, laptop, speakers)? Are there any additional materials needed (ex: flipchart, markers, etc.)?
Is there anything else you would like us to know?