DISTRICT 8686 SSPRING CONFERENCE WORKSHOP APPLICATION FFORM

D86 – Spring Conference 2018, April 27-29, Mississauga, Ontario Deadline for Proposals: January 8 2018, Notification: January 12, 2018 Proposals must be submitted in the format below, with all sections completed and a photo submitted for your proposal to be considered. Use additional pages if necessary or if submitting a handwritten form. Send Completed Forms to the Education Chair: Carolyn Hoxie, DTM, PDG [email protected] and enter on the Subject line: Workshop Proposal Spring 2018

Presenter Name(s) Email Phone Number Club Name, Number, Area, Division

TM Designation Brief Biography (not your workshop intro), must be less than 50 words

Workshop Title (must be less than 10 words)

Purpose (What will the participants gain?)

Synopsis for Program Booklet, Registration Flyer &/or Website (must be less than 50 words)

Relevant Track (Leadership, Speaking Skills, Professional Development, Club Excellence) DISTRICT 8686 SSPRING CCONFERENCE APPLICATION FFORM

Why should we choose you?/What do you hope to gain in your Toastmaster path? Detailed Description (Approx. 200 words

Presentation Format & Timing Details

Previous Toastmasters Presentations Outside of Your Club

References (Toastmasters): Include Names, Contact Info, and TM Designations

References (Non Toastmasters): Include Names and Contact Info

Equipment Required: (You must provide your own projector, screen, flip chart, extension cords, power bars, etc.) There are no microphones. Conditions: I understand that if I am offered a workshop slot and I accept:  I agree to not compete in the Spring 2016 contests or run for office.  I agree to register for the full conference.  I agree to provide an 8x10” photo for promotional purposes by the stated deadline (If submitted electronically, the image must be suitable for enlargement to 8”x10” of 200x275pi minimum for printing).  I agree to provide two activators for workshop complete with full contact information.  I will provide any projector, screen, flip charts, extension cords, computers, etc that I require. Please type in your name or sign acknowledging the above conditions Other Comments (If you wish you may include additional information to support your application.