Proposal Submission
Submission form. Please fill out.
Name (First and Last):
*
Your Name
Email Address:
*
Your email address
Street Address:
Address
City:
City
State:
State
Zip:
Country
Phone number:
*
Please insert the phone number where we can call you to discuss your proposal
Website:
http://
Organizational Affiliation (if any):
Organizational affiliation, if any
Title/Position at Organization:
Workshop title
Presentation Format:
*
Presentation
Workshop
Campaign
Format of Presentation (see
Submission Info
page for details.)
Theme:
*
How will your workshop specifically address the conference theme: forging stronger connections between independent media and communities organizing around grassroots issues of justice and equality? If it doesnt directly address this theme, please explain why you feel it is important to include your session in the conference.
Diversity:
*
How will your workshop address diversity?
Description for Program:
*
A short description of how you will help promote the conference - i.e.announcements through your media productions (- PSA, radio announcement, magazine ad, etc.), email blasts to your contituents, web site links, mailing to subscriber lists, etc.
Engaging:
How will you engage the participants of your workshop?
Presenters:
*
Names, titles and organizational affiliations/descriptions (if any) of presenters and a 25-50-word biography of each presenter.
Promo:
*
A 150-word "promo" description of your workshop, ready for publication on the web and in the program guide. You can include web
Wishlist:
Workshop equipment and material wish-list. (We will try our best to accommodate as many requests as possible within the restrictions of our limited budget.)
Show your organization's support for NYC Grassroots Media Coalition:
Yes, my organization supports the efforts of the NYCGMC
No, we don't wish to endorse at this time
Your endorsement states that you support our efforts to form an alliance between NYC media makers and community organizers.
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