25th+ Anniversary Presentation / Panel Interest Form
In celebrating the unique ideas that come from Inside-Out, we're inviting people from our network to propose presentations, panels, and workshops that represent the program's innovative spirit. In this preliminary form, please keep in mind the time constraints of 50-minute sessions, and potential limitations of physical space as you develop your ideas. 
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First Name *
Last Name  *
Contact Email  *
Affiliation with Inside-Out  *
Which of the following dates are you available to present? *
Are you able to attend in-person to present?  *
Please briefly describe what you hope to present. Things to consider include topic matter, level of active participation, number and background of people in your group, and how this idea relates to Inside-Out. *
Will your idea require any technology access or other supplies?  *
Additional comments, concerns, or suggestions:
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