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51st Annual
Convention
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NDSC 51st Annual Convention - July 20-23, 2023
2023 Y&A Conference Speaker Proposal Form
Consent
(Required)
I have read and understand the 2023 expectations for Y&A Speaker Proposal submissions.
Presenter's Name
(Required)
First
Last
Presentation Type
(Required)
45-minute Workshop
Presentation Title
(Required)
Presentation Description
(Required)
If selected, this description will appear online and in print (150 words or less please).
Outline and handouts for your presentation, if available
Drop files here or
Select files
Max. file size: 2 MB, Max. files: 5.
Presenter's Bio
(Required)
Presenter's Mailing Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Presenter's Phone
(Required)
Presenter's Email
(Required)
Confirm Presenter's Email
(Required)
Additional Presenters if applicable (add rows as needed)
Name
Email
Phone
Bio
Add
Remove
Presenter(s)' headshot/photo(s)
Accepted file types: jpg, png, gif, Max. file size: 2 MB.
Recent photo for use online and/or in print. 300x300 requested. If resolution is too low, a replacement may be requested. File name must include speaker's name.
Previous NDSC speaker?
(Required)
I have presented at the NDSC Annual Convention within the last 5 years
I presented at the NDSC Annual Convention more than 5 years ago
I have never presented at the NDSC Annual Convention
Recording consent
(Required)
Yes, I agree to be recorded
No, I do not agree to be recorded
If selected, workshops are audio- and/or video-recorded and offered to attendees to view presentations through online access.
We do our best to honor requests for our presenters' audio-visual needs. Please answer the following so that we can be prepared should your proposal be selected.
No changes will be made to AV within a month from convention.
Internet Access is not provided in all areas of the convention space; however if it is essential to the success of your workshop please let us know and we will try our best to accommodate you.
(Required)
I do not require internet access during my presentation
I would like to request internet access for my session
Computer use
(Required)
I will use the hardware provided and bring my presentation on a flashdrive
I will use my own device and will bring the appropriate connectors
All workshop rooms will have a laptop connected to a projector. Some presenters prefer to bring their own computer, especially if using embedded videos in their presentation. Please indicate your preference.
Microphone preference
(Required)
Podium microphone
Lavaliere/lapel microphone
All rooms will have one additional handheld microphone, for audience members to ask questions.
Additional A/V requests
Support Person Contact Information
The support person listed below consents to be contacted and involved in the planning process of the submitted proposal
Support Person's Name
(Required)
First
Last
Support Person's Phone
(Required)
Support Person's Email
(Required)
Confirm Support Person's Email
(Required)