National Black Child Development Institute » Blog Archive » Conference Proposal Submission Form

Conference Proposal Submission Form

Please make sure you review the guidelines for submission before completing this form.

Primary Presenter Name*
FirstLast
Company, Institution or Affiliation*
Professional Title
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Work Phone*
Cell Phone
Fax
Email*
Email (Address Confirmation)*
NBCDI Member?*
- Yes
- No
Prior NBCDI Conference Presenter?*
- Yes
- No
Brief Presenter Bio*
Please upload a brief bio (2-3 paragraphs)
Co-Presenter Name (if applicable)
FirstLast
Company, Institution or Affiliation
Professional Title
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Work Phone
Cell Phone
Fax
Email
Email (Address Confirmation)
NBCDI Member?
- Yes
- No
Prior NBCDI Annual Conference Presenter?
- Yes
- No
Brief Co-Presenter Bio
Please upload a brief bio (2-3 paragraphs)
Additional Co-Presenters (if applicable)
Please enter contact information for any additional co-presenters (Title, Organization, Email Address, Phone Number)
Session Title*
Preferred Session Track *
Preferred Day *
Preferred Session Length*
Session Goals and Objectives*
Please state your session's goal and 3 key objectives.
Session Description*
Please include a summary of your presentation content. There is a 500 word limit.