*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.

Question Title

* 1. Please enter the contact information indicated below.

Question Title

* 2. Title of proposed program/session

Question Title

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

Question Title

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

Question Title

* 5. List three session take-aways:

Question Title

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

Question Title

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

Question Title

* 8. Level of difficulty of the session:

Question Title

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

Question Title

* 10. 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 2020.

Question Title

* 11. 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.

T