2024 Proposal "*" indicates required fields This is (please select one)* Workshop Keynote Speech Panel Discussion Workshop/Presentation Title:* Name of Presenter and Credentials:* Presenter’s Pronoun’s: Presenter’s Title:* Presenter’s Organization/Affiliation:* Workshop/Presentation/Panel Description (Please use additional sheet if needed): Workshop Learning Objectives:Does your presentation include handouts?* If so, will you be bringing your own handouts or will you need us to provide copies?If you would like us to provide copies, please email to [email protected] on or before October 1, 2024. Technology Needs for your workshop/presentation: Have you presented this before?* Yes No We will be recording this conference. Do you give us permission to record you?* Yes No ExpensesDo you have a fee for speaking engagements?*If you pick YES, provide an estimated fee (Please note that NAMI Vermont is a small grassroots organization with a limited budget. Consideration of this is appreciated.) Yes No Estimated fee: Will you need lodging accommodations on Oct 29 or Oct 30?* Will you need mileage reimbursement to/from the conference?* Yes No Contact InformationPrimary Contact Name:* Organization Mailing Address* Street Address City State / Province / Region ZIP / Postal Code Primary Phone:*Alternate Phone:Email* Other Information We Should Know: