Class Proposal for the Midwest Women's Herbal Conference June 7, 8 and 9, 2013
Date
Name
*
First
Last
Email
*
Address
Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Phone
Website
Working Title of Workshop:
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Type (Lecture, Demonstration, Hand-On Activity):
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Intended audience (Children, Young Women, Beginning Herbalists, Herbal Practitioners)
*
Brief description of your workshop for publications (4-5 Sentences)
Biography of presenter for publication (4-5 Sentences)
What do you know about the Wise Woman Tradition of herbalism, and how has it affected you and your work? If you don’t connect with this tradition directly, what parallels do you see that your teaching integrates, if any.
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Why might you be one of the best people to teach this subject at this conference?
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Full, detailed description of your workshop including its purpose(s), activities, and how it will be organized and your objectives for participants. Please include the time breakdown for a 1 ½ hour workshop with a detailed outline of information, and/or activities and projects. Purpose Activities Schedule Learning Objectives
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Workshop session preferences. Please note that we cannot guarantee your preferred time(s), but will take your request into consideration. Presenters who are selected will need to be prepared to present anytime during the conference. Saturday morning Saturday afternoon Sunday morning Sunday afternoon I don't have a preference
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Would you be willing to present this workshop more than once during the conference if there was a need?
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Please list all equipment and type of room set up you would you need.
Please provide any other information you feel we should know about your proposed workshop
*
Please provide 2 references who are familiar with your teaching experience include their telephone number and/or email address
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