Stakeholder Engagement 2010: Proposal Submission Form   Please fill out the following form in order to submit your proposal. The closing date for submissions is midnight, EDT on Thursday, October 29, 2009. Read background information for your proposal at http://www.publicdecisions.com/background_info_for_proposers.pdf.   About You Name:* Title:* Organization* Email:* Phone:* Brief bio (or link to website with bio):* Briefly indicate any recent local, national or international speaking experience. If none, please note your experience speaking in front of groups of 15 or more, or as an instructor.* Indicate any dates when you would NOT be available to present during this conference. If you are submitting this proposal on behalf of another, please indicate their information above and list yours in this section. Name: Email: Phone: My proposal relates to the following topic (select one):* Social or Environmental Justice (Historically excluded or underserved groups) Accessibility (People with physical or mental disabilities) Social Inclusion (Individuals who are socially excluded by geography, personal habits and appearance, class structure, income, education or religion) Type of presentation (select one):* Case study Individual presentation on best practices or ‘lessons learned’ Host field trip in Second Life (location should be a “sim” that you have used for engagement work) Research findings presentation on studies related to the conference topic Please select the corresponding conference track for your presentation:* Community Engagement for community planning, transportation and the “built” environment Health Engagement for health prevention, promotion, assessment and community health partnerships Environmental Engagement for preservation and protection of the natural environment Civic Engagement for building the skills and abilities of individuals, groups and communities to take action on problems, needs or concerns Presentation title (if field trip, name of island or “sim” in Second Life)* Briefly describe the issue or problem that this presentation/field trip addresses. (250 words or less)* Briefly describe how this presentation/field trip addresses this issue or problem: (250 words or less)* Why is this topic of interest to the attendees? (What's in it for them?) (250 words or less)* List at least 3 things attendees will learn by attending this presentation/field trip by completing the sentence, "In this session, you will learn…”* Audience Level:* Introductory Intermediate Advanced Other Have you given this presentation/field trip at any other events (online or in-person)?* Yes No If yes, list the event and date and indicate if it has been accepted. Please use this space for comments or suggestions or for general comments: Thank you! We will review your proposal and let you know no later than no later than Monday, November 16, 2009 if it has been accepted.   * Indicates field is required.