NESA FLC22 General Interest Workshop Application Form

First Name *

Presenter first name.

Last Name *

Presenter last name. 

Professional Position / Job Title *

Organization *

School or organization name. 

Email *

Website (optional)

Twitter Handle (optional)

Other Social Media (optional)

Biography *

Provide a brief bio-sketch. Maximum: 300 characters.

Photograph

Please attach a recent color photograph as a high quality JPG or PDF file, minimum 5cm wide (2.5 inches) at 300dpi, or approx. 600px.

20MB max

Do you have a co-presenter?

Please check the box if yes.

First Name *

 Co-presenter first name. 

Last Name *

 Co-presenter last name.

Professional Position / Job Title *

Organization *

School or organization.

Email *

Website (optional)

Twitter Handle (optional)

Other Social Media (optional)

Biography *

Provide a brief bio-sketch. Maximum: 300 characters.

Photograph

Please attach a recent color photograph as a high quality JPG or PDF file, minimum 5cm wide (2.5 inches) at 300dpi, or approx. 600px.

20MB max

Title of Your Workshop *

Capsule Workshop Description *

Maximum: 300 characters. 

Workshop Description (Optional)

Longer description for NESA website. Maximum: 500 characters.

Laptop Type *

NOTE: NESA does not provide laptops to presenters. Please be sure to bring a computer-to-projector cable if using a Mac. 

PC

Mac (be sure to bring a computer-to-projector cable)

Equipment

Please select which of the following you will require. NOTE: A flip chart and markers are standard in every room.

Projector & Screen

Computer Speakers

Additional Equipment

Please list any other equipment required. 

Please feel free to share any additional comments or requests.