Swancon Program Item Suggestion Form

A simple form to gather details from a Chronopolis Speaker about what they want/need to run their panel items.

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About You

Your Full Name:
Your E-Mail Address:
Your Phone Number(Optional):

Your Program Item Idea

Your Program Item Title:
Stream: Gaming Main
A Brief Description:

What style of panel did you have planned?: Discussion Moderated Discussion Presentation Workshop Launch Performance Reading Circular Discussion Game Event
If you are suggesting a moderated panel, tick here and put their details in Under Person 1 in the Volunteers section.

Preferred Panel Time:

I can do 1 2 3 4 (or more) hours of programming each day

I am available for 1 2 3 4 5 6 7 (or more) hours of programming during the convention

I do not want to be programmed against the

Would you need any special equipment? (Some of this equipment may not be available)
Digital Projector Over Head Projector Slide Projector
VHS Player DVD Player Audio Output
Tape Player

Other volunteers

Who else would you like on the panel?(Optional)
Yourself?
Person 1 Person 2 Person 3
Their Name:
Their Name:
Their Name:
Their E-mail Address (if possible):
Their E-mail Address (if possible):
Their E-mail Address (if possible):
Their Phone Number (if possible):
Their Phone Number (if possible):
Their Phone Number (if possible):
Any Comments?:
Any Comments?:
Any Comments?:

Are there any final Comments?: