Dear People’s Summit on Globalization Workshop Applicant,

Please fill out the following panel speaker application and attach all relevant material to the back of the application. Please answer questions 1-12 as thoroughly as possible. If you have any questions concerning the panels, please feel free to call Tony Sanny at (303) 492- 5024. Thanks for your interest in the People’s Summit on Globalization!

Information about you and your organization

1. Your Name:

_________________________________

2. Your Phone #:

_________________________________

3. Your E-mail Address:

_________________________________

4. Your Mailing Address:

_________________________________

5. Your Organization’s Name:

_________________________________

6. Organization’s Phone#:

_________________________________

7. Organization’s Website:

_________________________________

8. Organization’s Mailing Address:

_________________________________

We want to get to know our speakers so we request that you provide a short biography about yourself including information on who you are and your experience as an organizer or educator. Information about your organization would also be helpful.

Information your area(s) of expertise

9. The topics on which you wish to contribute

_______________________________________

10. Attach a description of your experience as a speaker and your experience working on the topics you wish to speak about. Please

Include information on the types of speaking engagements you have participated in
Identify how your perspective will benefit participants
Provide a 30-word or less synopsis of your background for our publicity materials
If you have substantial constraints regarding who you would like to be on a panel with or the topic that you would like to cover, please describe.

The scheduling of the panels is yet to be determined. The conference organizers retain discretion to organize the panels as we determine to be best for conference participants.

11. Please indicate if you can attend only part of the Summit so we can consider your time constraints when scheduling the panels.

______________________________________________________________________________

12. What, if any, special facilities and/or equipment (i.e. VCR, chalkboard, etc.) will you need?

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The Coalition for Economic Justice

University of Colorado at Boulder

University Memorial Center 183

Campus Box 207

Boulder, CO 80309

Deadline to Submit Applications is January 22, 2001