Eshel Retreat Presenter Form

Thank you for your interest in presenting a session at the Eshel National retreat on January 17-19, 2014!

Our theme this year is Celebrating Our Diversity- Making Us Stronger.
We are spotlighting the Sephardic/Mizrahi experience. Not all sessions need to address this topic.

Please take a moment to fill out this form so we can gather information on what you would like to teach. For each session idea, please submit a separate form. Once we have a number of submissions we will get back to you.

Our goal is to create a vibrant, educational and inspiring program with a variety of topics and learning modalities.

If you have questions about what to teach, contact info@eshelonline.org and someone will get back to you.

Thanks!
The Program Planning Team

Question Title

1. What is the title for your session? (Required.)

Question Title

2. What is the content of your session? (Required.)

Question Title

3. What category would you put this session under? (Required.)

Text Study

Facilitated Discussion

Lecture

Experiential Learning

Other (please specify)

Question Title

4. Who is the audience for this session? (Required.)

Trans people

Lesbians

Gay men

Bisexuals

Sephardic

Ashkenazic

Adults (18+)

All of the above

Other (please specify)

Question Title

5. Describe your past experience teaching and facilitating discussions: (Required.)

Question Title

6. Have you taught or facilitated a group at an Eshel retreat before? (Required.)

Yes

Other

Question Title

7. Please give us a brief bio about yourself. (approx. 50-75 words) (Required.)

Question Title

8. Your contact information: (Required.)

Name: *

State:

ZIP:

Email Address: *

Phone Number: *

Question Title

9. Can we list your name on our website for publicity purposes? (Required.)

Yes

Other (please specify)

Question Title

* 1. What is the title for your session? (Required.)

Question Title

* 2. What is the content of your session? (Required.)

Question Title

* 3. What category would you put this session under? (Required.)

Question Title

* 4. Who is the audience for this session? (Required.)

Question Title

* 5. Describe your past experience teaching and facilitating discussions: (Required.)

Question Title

* 6. Have you taught or facilitated a group at an Eshel retreat before? (Required.)

Question Title

* 7. Please give us a brief bio about yourself. (approx. 50-75 words) (Required.)

Question Title

* 8. Your contact information: (Required.)

Question Title

* 9. Can we list your name on our website for publicity purposes? (Required.)

1. What is the title for your session? (Required.)

2. What is the content of your session? (Required.)

3. What category would you put this session under? (Required.)

4. Who is the audience for this session? (Required.)

5. Describe your past experience teaching and facilitating discussions: (Required.)

6. Have you taught or facilitated a group at an Eshel retreat before? (Required.)

7. Please give us a brief bio about yourself. (approx. 50-75 words) (Required.)

8. Your contact information: (Required.)

9. Can we list your name on our website for publicity purposes? (Required.)