Atlanta Creativity Exchange | Presenter Application Form

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Atlanta Creativity Exchange Presenter Application Form

Presenter applications are due by January 22, 2008.

Below is a form to facilitate your presenter application. It will be helpful if you can also submit a digital photo of yourself and, if possible, a photo or image that illustrates your session. You can submit these separately to our webmaster by emailing them to .

Name(s):*

Academic/Professional Titles:*

Email:*

Website:*

Telephone:*

City & State/Prov/Country:*

Preferred roommate (if applicable):

Session title:*

*You must fill in these blanks for us to be able to process your request.

Provide a brief description of your session.
Be specific: explain precisely what your session will offer, using clear, simple, jargon-free language (1,000 characters maximum = approx 150 words).
You have characters left.

Please add here 3 learning objectives for your session (i.e. what participants will come away with):

What is the general level of experience in your subject matter your audience should have?

What is the general level of audience interaction in your session?

Low Interaction: audience is sitting and listening more than 75% of the time
Medium Interaction: audience is doing something other than listening between 25% and 50% of the time
High Interaction: audience is doing something other than listening more than 50% of the time

Do you intend to participate for the whole weekend?
Yes No

Is there anything else we should know about your session? (special needs, number of participants, etc):

Please provide a one-paragraph BIO of yourself (1,000 characters maximum = approx 150 words):
You have characters left.

How did you hear about Atlanta Creativity Exchange?

We need to verify you are human and not a spambot. Please answer the following question: Where is this conference being held? (Resist the creative answer here!)

Click here to send this information: