*Required Question(s)
We suggest that you first develop your proposal in Word and then copy and paste the information into the appropriate sections. The information you enter cannot be saved and returned to at a later time.

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* 1. Please enter the contact information indicated below.

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* 2. Please enter the contact information indicated below.

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* 3. Title of proposed program/session

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* 4. List the speaker(s): (Indicate name, title and employer)

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* 5. Description of the proposed program/session: (Please send any additional information that supports this proposal via email to Cathy Bongermino at cbongermino@leadingageny.org)

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* 6. List three session take-aways:

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* 7. Venue type: (check all that apply)

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* 8. Session Audience: (Check all that apply)

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* 9. Level of difficulty of the session:

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* 10. Session length: (note that Annual Conference sessions are 60-90 minutes in duration)

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* 11. Briefly describe any interactive and innovative teaching methods you will be applying in this program/session.
Proposals that offer an interactive shared-learning approach, and sessions that are designed to focus on a creative solution to a specific challenge, are especially preferred for 2022.

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* 12. Session format: (Check all that apply)

**Please send a resume/vitae listing academic and other credentials for each speaker to edu@leadingageny.org**

If you are submitting this form after the deadline, please notify us of your submission.

For any questions, to confirm we received your proposal, or to obtain a copy of your submitted proposal, please contact us at:
edu@leadingageny.org, 518-867-8385.

To submit this proposal, please click "Done" below. We thank you for your interest in LeadingAge New York/FLTC's educational programs.

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