Request for Proposals

justCommunity, Inc. is accepting through June 15, 2005, applications for workshop presenters for its 2005 National Youth Development Conference, scheduled for Oct. 16-18, 2005. Please fill out the following form to submit your proposal:

1. For each presenter, (youth or adult) please supply the following information. In the space provided at the end of this form, list 2 references with phone numbers who can attest to your ability to present in front of a diverse group.

Name:
Title:
Organization:
Street Address:
Address 2:
City:
State:
Zip Code:
Phone (day):
Phone (evening):
Fax:
E-mail

2. This session is being submitted by:

Youth Adult

3. Session Title (the title should be very short and specific):

4. Session Description:

(50-75 word description. Your description may be edited for use in the brochure)

5. Learning Objectives: (2-3 bulleted learning objectives and skills/outcomes participants will gain from the session.)

You will learn:

6. To what extent and how does your session involve youth in the presentation?

7. Learning Session Methods. (Select all that apply)

To accommodate different learning styles, we expect a balance between lecture and audience participation.

Lecture	Experiential	Interactive
Panel Discussion	Facilitated Discussion	Audio-visual presentation

8. Stage of community or organization mobilization for which your learning session would be applicable:

Beginning

Intermediate

Advanced

Pertains to All Levels

9. Optimum length of your session:

1 1/2 hours 3 hours Either 1 1/2 or 3 hours

10. Preferred day of presentation:

Sunday, Oct. 16, 2005

Monday, Oct. 17, 2005

Tuesday, Oct. 18,. 2005

No Preference

Extra Information:

For each presenter, provide a brief bio and relevant experience to workshop proposal. (Provide two references with phone numbers.)

Please submit by June 15, 2005 ...

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