Workshop Proposal Form 2021 Annual Conference on Independent Living Logo - LIBERTY, INDEPENDENCE, FREEDOM, EQUITY. Presented by NCIL. Graphic features a line art drawing of three pulmeria flowers. July 19-30, 2021 The Annual Conference on IL will be held as a Virtual Presentation on a Zoom Webinar platform. We will accept applications until Thursday, March 18, 2021 at 11:59 p.m. EST. Email the completed workshop proposal form to angela@ncil.org. Read the Call for Proposals (https://ncil.org/2021-annual-conference-on-independent-living/2021-call-for-proposals/ ) and Important Information for Presenters before submitting your proposal (https://ncil.org/2021-annual-conference-on-independent-living/information-for-presenters/ ). The workshop organizer is the only individual to be contacted regarding the conference. The workshop organizer is responsible for notifying all presenters and co-presenters. Please be sure that all presenters have agreed to present and to the conditions set forth in this document. * Title of Workshop: Workshop Organizer: Contact Email: Presenters If the workshop organizer is also a presenter, enter their information below along with any other presenters. Presenter #1 Email Presenter #1: Please include the presenter's name, title, organization, and a brief biography (100 words or less) Presenter #2 Email Presenter #2: Please include the presenter's name, title, organization, and a brief biography (100 words or less) Presenter #3 Email Presenter #3: Please include the presenter's name, title, organization, and a brief biography (100 words or less) Presenter #3 Email Presenter #3: Please include the presenter's name, title, organization, and a brief biography (100 words or less) Presenter #4 Email Presenter #4: Please include the presenter's name, title, organization, and a brief biography (100 words or less) Presenter #5 Email Presenter #5: Please include the presenter's name, title, organization, and a brief biography (100 words or less) Workshop Track (choose one) * [ ] Advocacy & Policy Work Track [ ] Independent Living 101 Track [ ] Core Services Track [ ] Inclusion, Intersectional Work, Race & Equity Track [ ] SILC Track Target Audience (choose one) * [ ] Front Line Staff and Consumers: Focus on building capacity among staff working with consumers or among consumers themselves. [ ] Advocates and Project Directors: Address the needs of managers / supervisors or those who work on issues of systems change. [ ] Executive Directors and Board Members: Meet the needs of those running a CIL or SILC, including development of board members. [ ] Appropriate for all audiences Knowledge Level (choose one) * [ ] Newcomer: Someone who is new to the Independent Living or Disability Rights Movement, including: consumers, individual advocates, new CIL staff, etc. [ ] Experienced: This person is someone who has worked in a Center or who has a disability and has been active in promoting disability rights. [ ] Appropriate for all knowledge levels Type of Presentation [ ] Training Workshop / Webinar: An experiential learning opportunity with specific training objectives for workshop participants; focus on building new skills, changing attitudes, or increasing values. [ ] Virtual Poster Session: A poster session is the presentation of research information with an academic or professional focus. Posters are displayed throughout the NCIL Conference space at the discretion of the presenter. [ ] Virtual Film Screenings: Documentaries and other films that address disability from the Independent Living perspective. Film must be captioned and voice described to be considered. Type of Presentation * [ ] Training Workshop / Webinar [ ] Virtual Poster Session [ ] Virtual Film Screening Audio Visual & Technology Support NCIL will provide a the webinar platform (via Zoom), a host, and technical support for your webinar. Please let us know below if you would like to request any additional items or support to conduct your event. [ ] Audio-Visual & Technology Support Request: [ ] Other Please provide a brief description of your workshop. If accepted, this description will be printed in the Conference Program to advertise your workshop to our attendees (100 words or less) * Learning Objectives - Please provide 3-4 bulleted statements of exactly what you expect your audience will learn or gain from participating in your event. * Agenda & Content - Describe the purpose and nature of your proposed session. Please describe in detail the content you will cover, the format of your event (lecture, panel, other), and how you will lead the audience to the objectives you have outlined above. * Why are you the best person to conduct this proposed session? Describe your history, involvement and/or experience in the Independent Living Movement and why you think you would be a good presenter or facilitator: * I understand that if we intend to show presentation slides during our session, presentation slides will be emailed to NCIL by deadline for sharing with conference interpreters, CART writers, and attendees. I understand that if we intend to give hand-out materials, they will be also provided in accessible formats. * [ ] I understand. Your name below indicates your understanding of all that has been presented above and certifies that you are the workshop organizer (contact person) for the session title you have proposed. If you have any questions about this form or the work of the Committee, please contact Angela Ellman at angela@ncil.org. * Name: You may attach a file.