Please complete the four sections of this form and
then click Submit to submit your Submission
Section I:
Title:
Dr.
Mr.
Mrs.
Ms.
Professor
Dean
Rev.
Fr.
Sr.
Amb.
First Name
Middle Initial:
Last Name
Principal Author's Job Position:
Brief Biography: (limited to 250 words)
Section II:
Address Type:
Work
Home
Other
Address Line 1:
Address Line 2:
Address Line 3:
City:
U.S. State
Zip or Postal Code:
Country:
Office Telephone:
Home Telephone:
Fax
Preferred Email
Personal Website
Section III:
Institutional/Organization Affiliation
City
U.S. State
Country
Institutional Website
Section IV:
Preferred Mode of Presentation:
-- select one --
paper proposal
panel proposal
poster session
workshop
roundtable
film screening
other, described below
Presentation Title:
Select the most applicable stream for submission of this proposal:
-- select one --
Nonviolence
Social Justice
Community Building
Indicate other stream that may also be appropriate for this proposal:
-- select one --
Nonviolence
Social Justice
Community Building
A/V requested:
If this proposal is accepted, will you allow for your presentation to be audio or video-taped?
Yes
No
Not Sure
What are your paper plans?
-- select one --
I have already written the paper.
I will have the paper available to distribute at the conference.
No paper planned.
Additional requests:
Summary of Presentation: (limited to 250-500 words)
