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PBPLS Workshop Proposal Form

Thank you for your interest in presenting a workshop or Keynote Speaking at this years Portland Black Pride LGBTQ Summit. Each workshop will be awarded a $50 honorarium.

A huge thank you to this years sponsors (so far):
PFLAG Portland/PFLAG Portland Black Chapter, Cascade AIDS Project
Basic Rights Oregon,Multnomah Cournty HIV/AIDS Prevention Program,Cross Over

Suggested Topics/Ideas
-Racism in the LGBTQ Community
-Queer and Trans Youth of Color
-Our Health
-Black and Trans
-Building Power
-Intersecting Identities
-Loving Who We Are
-Black LGBTQ History and Heroes

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* 1. Presenter contact information:

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* 2. Additional presenter contact information (leave blank if only one presenter):

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* 3. Title of workshop (as it should be printed in brochure):

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* 4. Please provide a detailed description of the workshop or presentation
you are interested in giving (200 words minimum):

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* 5. What is the duration of your workshop?

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* 6. If submitting a proposal to give the keynote please share the duration of your speech...

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* 7. It is our desire for presenters to be a part of the round table discussion during lunch will you be available?

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* 8. Do you have prior experience giving this workshop?

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* 9. Who is the intended audience for your presentation? (check all that apply)

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* 10. Is the material in your presentation appropriate for all ages?

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* 11. Please indicate any materials or equipment needed - be specific (whiteboard, dvd player, internet access, etc.).

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* 12. Would you be interested in presenting with others?

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* 13. Brief bio of presenter(s):

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