We've detected that Javascript is not enabled. It is required for an optimal survey taking experience. Please check your browser's settings and make sure Javascript is turned on. Learn how to enable Javascript.

Email Address *This question is required.This question requires a valid email address.

Phone Number *This question is required.

2. Title of Presentation *This question is required.

3. How long is your proposed session? *This question is required.

20 minutes

60 minutes

75 minutes

90 minutes

4. Name of Presenter(s) *This question is required.

5. Primary Presenter *This question is required.

6. Biography of Presenter (200 words) *This question is required.

7. Session Type *This question is required.

Lecture

Interactive Session

Physical Activity or Alternative Format

Student Panel Presentation

8. What stream is your presentation geared towards? (If your presentation spans both age groups, determine which is the best fit. What are the ages of the majority of your participants?) *This question is required.

Children (ages 6-12 years old)

Youth (ages 13-19 years old)

Professional

9. What topic are you interested in presenting for YDRS Symposium? *This question is required.

10. Description of session (500 words). *This question is required.

11. Please select all that will be required. *This question is required.

Laptop

LCD Projector

Ledern with Microphone

12. Please provide 2 references. *This question is required.

13. What is your preferred room set up? *This question is required.

Lecture Style (rows of chairs)

Classroom Style (chairs with desks)

Workshop Round (usually 6 per table)

14. How did you hear about YDRS Symposium? *This question is required.

15. Have you ever attended YDRS Symposium in the past as a presenter or delegate? *This question is required.

Yes

No

Not sure

16. Are you planning on attending the full YDRS Symposium? *This question is required.

Yes

No

Other - Write In (Required)Please enter an 'other' value for this selection.