Thank you for submitting your presentation proposal to the 2018 F.I.E.R.O. Fire Station Design Symposium.
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Your name (as you wish it to be published): *

 
Job title: *

 
Organization name: *

 
Organization website: *

 
Department: *

 
Address *

 
City, State Zip *

 
Your phone number (with area code) *

 
Your fax number (with area code) *

 
Describe your work history, projects, awards, eduction, etc.: *

 
Will you have a co-presenter? *

If yes, please complete a form for your co-presenter. Co-presenters cannot be added after-the-fact, it is critical that all information is submitted at the same time you submit your proposal.
     
 
Co-presenter's name:

 
If necessary, will you agree to give this presentation twice on the same day? *

     
 
Proposed title: *

 
Presentation description (to be used on the website as your session description): *

 
What is the primary learning objective of your presentation? List two or three session outcomes for the learner (by attending this session, the participant will be able to...): *

 
Describe how you will engage the audience including specifics of the delivery format: *

 
Please list the last three venues (with dates) where you were a presenter and the number of people present for each presentation (first of three): *

 
Please list the last three venues (with dates) where you were a presenter and the number of people present for each presentation (second of three): *

 
Please list the last three venues (with dates) where you were a presenter and the number of people present for each presentation (third of three): *

 
Which level best describes who would benefit most from attending the session? Please select one: *


 
I am interested in giving a FED Talk *

FED Talks are 14-minute talks on thought-provoking, possibly controversial topics (gender equity, design for camaraderie, social media in and out of the station...). No slides are allowed.
     
 
Describe your FED Talk: *

By submitting this proposal you acknowledge that you will not receive an honorarium. If you have a co-presenter, he or she will not receive an honorarium. If selected, you agree to adhere to the deadline schedule furnished by conference organizers. You understand that your conference presentation is not a showcase for promoting your business, practice, or product, and you will not sell your products or services from the F.I.E.R.O. speaker platform. You also understand that you will be notified about the status of your proposal by mail no later than Friday, March 30, 2018. Thank you for your submission!
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