NYSCamp 2025 Presenter Proposal

This form does not auto-save; you will need to submit it in one session. Fields marked with a red asterisk (*) are required. If you are selected as an NYSCamp presenter, we plan to share the following information with our delegates: your name, professional/personal suffix, professional position, professional organization, photo, bio, and NYSCamp alumni information (year and state). If you'd like to share your email and social media profiles with delegates, you can indicate permissions below. If you would prefer that we exclude any of the above information, please let us know in the final textbox of this form.

Presenter type

First Name

(Included in public profile)

Preferred First Name, if different

Last Name

(Included in public profile)

Professional and/or personal Suffix (e.g. MD, PhD, EdD, Esq, JD, Jr, Sr, etc.)

(Included in public profile)

Pronouns

he/him/his
she/her/hers
they/them/theirs
Other (please specify below)

Other Pronouns

Brief biography (1-2 paragraphs)

Please share a brief professional/personal bio (preferably 1-2 paragraphs) to share with delegates. If you'd like to share a professional email address or social media profile/handle with delegates, listing it at the end of your bio is the easiest way to share it. (Included in public profile)

{name}

Company/Org

List the name of the company or organization you currently represent. (Included in public profile)

Professional Position

What is your job/position at the company/organization above? (Included in public profile)

Company/Org Website

Please list the website of your company/organization. (Included in public profile)

Personal Email

If at all possible, please don't use a school-issued email address, as our emails may be blocked. (NOT included in public profile)

Permission to share Email

Do you give us permission to share your email address with delegates?

Mobile Phone, beginning with country code

E.g. +1 202 504 5049 (NOT included in public profile)

Mailing Address

Please provide your full mailing address (street, city, state, zip or international equivalent) (NOT included in public profile)

{name}

Attach a high-resolution headshot photo.

(included in public profile)

Attach file

Drop files here

Delegate year

If you were a delegate to the NYSCamp, please select your delegate year. (Included in public profile)

Please share the URLs or handles for your social media accounts for our records. For each social media account you can give separate permission to share this information with delegates or not. LinkedIn URL

Facebook URL

Twitter Handle

Instagram Handle

Source

Please let us know how you heard about presenting at the NYSCamp. If a staff member or camp alum encouraged you to apply to present, please tell us who it was.

If there is anything else you would like to add, please do so here.

What type of programming would you be interested in doing for NYSCamp 2025?

You can select multiple options.

Select an option

Preferred Dates

Please check multiple areas if you have flexible date options.

Select an option

Other Program Type or Details

Please provide details about the other program you'd like to propose for the 2025 NYSCamp.

{name}

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