Parks & Recreation "Creating Your Future Vision"

Thank you for your interest in presenting at our 2020 URPA conference. Speakers are required to submit the form completely with all requested information before it will be accepted. Details listed in this survey will also be used in the URPA conference program/orconference app. (COMPLETE ONE SURVEY PER SESSION). Just a reminder filling out this survey does not guarantee you will be chosen to present. 

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* 1. Date and time submitted:

Date / Time

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* 2. Main Speaker Information

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* 3. Website:

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* 4. Linkedin:

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* 5. Twitter:

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* 6. Facebook:

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* 7. Name of person submitting (if different from speaker)

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* 8. Main Speaker Bio (100-word limit)

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* 9. Speaker Bio 2 (100-word limit)

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* 10. Speaker 3 Bio (100-word limit)

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* 11. Speaker 4 Bio (100-word limit)

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* 12. Speaker 5 Bio (100-word limit)

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* 13. I have experience speaking at (check all that apply)

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* 14. Availability to speak on:

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* 16. Session Title

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* 17. Learning Outcomes - 3 Required for CEU approval

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* 18. Session Description (60 words or less)

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* 19. Instruction Method (check all that apply)

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* 20. Presentation Topics (Check all that apply)

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* 21. Special Requests: (not guaranteed):

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* 22. If you have any other special requests please state them

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* 23. Session materials in PDF form can be included in the Conference App. Please, make them available to URPA no later than January 31st, 2020 by emailing nick.coleman@wvc-ut.gov.

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* 24. Keynote Speakers for this conference have already been contracted. We have a very limited budget set aside for Out-of-state reimbursement. If your session proposal is contingent on a travel stipend, please indicate the stipend amount you are requesting.

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* 25. Who were you referred by:

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* 26. Please list any Accessibility requirements:

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