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Presenter Form

Name:

Professional affiliation:
(where do you work, or where do you apply your humor, laughter or play related to this proposal?)

Titles & Degrees:
Address:
City: State: Zip:
Phone:
Fax:
Email:
Website:
Now, how do we REALLY contact you?
Expertise in this area of applied or therapeutic humor:

NOTE: Please provide all the above information for every session presenter.
Title of presentation or workshop (it's okay to make it fun!)
Type of Presentation:

Group Activity

  Informational Presentation

Hands-on Learning

  How-to Session

Poster Session

Presentation Summary: (limit 100 words)
Learning Objectives & Outcomes: (limit 3) Include expected outcomes in terms of knowledge, skills and/or attitudes.
Percentage of Active Audience Participation: (0% - 100%)

Types of Activity: (describe participant's involvement, for example: discussion, role play, games, etc. It's okay to admit it if it's mostly lecture.)

Areas of Humor Application:

We are seeking sessions on everything from clown make-up to marketing, from stand-up to fund-raising. We encourage submissions in all categories below and more! Please indicate where your submission fits best. (Make up your own category if these don't fit )

Education Social work Military/Government

Spiritual/Faith Research Performance Techniques (identify)

Health Care Marketing/Running the business

Business Publishing Other (explain)

Time Request for Presentation: (Select your preference. We may ask that you modify your time, if necessary.)

55 Minutes

40 Minutes (Poster session)

3 Hours

In addition to workshops and general keynote sessions, the conference will offer a Meet the Humor Experts session. Would you be willing, if asked, to focus on a specific topic for 20-30 minutes at a networking session, for small groups of 8-10 people?

YES NO

As a "Humor Expert" you will focus on a very specific topic and give listeners practical information and precise skills that will improve their understanding and performance in this particular area. What topic(s) would you choose for the Meet the Humor Experts session?

*E-mail:
*required

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