2008 Northwest Regional Conference Proposal Submission Form

We suggest that you print this form to plan your presentation and then return to this electronic form when you are ready to submit your presentation.

Lead Presenter (primary True Colors Facilitator or Trainer)

First Name:
Last Name:
Title:
Organization:
Mailing Address:
City:
State/Province:
Zip/Country Code:
Country:
Telephone Number:	- -
Fax Number:
E-Mail Address:
Will you have a co-presenter?	Yes  No
Co-presenter:
First Name:
Last Name:
Track:	Workshop Session (85 Minute)  Concurent Session (25 Minute)
Your workshop will be most valuable to what audience? Students  Faculty  Staff  Community Partners  Facilitators and Trainers
Have you presented a program at another association or conference in the past? Yes  No
Title of Session:	10 words or less
Description of Session: In 150 words or less, provide a summary of the content. Please Note: the Proposal Review Committee may change and/or reduce your title/description for program clarity in promotional brochures.
By submitting this form I understand that the International True Colors Association does not provide honoraria for presentations given at any conference or meeting. Presenters must cover all of their individual conference fees, travel, meals and accommodations.