Please use this form for the following: 1. To propose a topic that you wish to present 2. To make a suggestion that you would like to see covered 3. To suggest a presenter for the board to contact about participating
Because it will be used by the Board to help evaluate proposals and build a balanced conference schedule, it is important that you complete the form fully, accurately, and provide as much detail as possible about your proposal. This will help insure the Program Committee has the information necessary to make a good determination about the relevance of the proposal to the current conference goals, as well as, to be able to judge the best place in the schedule to place the session. Trying to make certain there is a balance of activities for practitioners at all levels is a high priority so please keep that in mind when making your submission. Due to space and time limitations we will be able to offer only a limited number of highly restricted workshops.
(Please provide all of the relevant information, the board needs to consider the proposal fairly and in detail)
General Information Completed by person submitting proposal
Name Address City State ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINIOS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING Zip Telephone Alt Telephone/Fax Email Address GPYTCA Membership #
Membership Type Individual Teacher Organization Donor Other Choose one of the below:
This is a proposal for a workshop I would like to present I would like to see this topic at the next Annual Conference I would like to recommend this presenter to the Board for consideration Proposed Workshop Title Proposed Workshop Presenter (Please be sure any relevant title that would need to be used in correspondence and/or publicity. e.g. Sifu, Master, etc...) Name(s) of Presenter/Presenters
If the proposed presenter is NOT the person submitting this form, is she/he aware of this proposal? Yes No
If you are not the presenter, please include detailed contact information for the presenter below. If the proposal is for a session to be lead by more than one person, please supply information about all presenters and indicate who will be the Primary Presenter. The primary presenter is the individual who will serve as the contact with the GPYTCA board in coordinating and scheduling the session, and who will act as the lead person during the workshop.
Presenter Information If different from the person submitting this form Name Address City State Zip Telephone Alt Telephone/Fax Email Address GPYTCA Member Title Or Subject of Workshop
Presenter Information If different from the person submitting this form
Name Address City State Zip Telephone Alt Telephone/Fax Email Address GPYTCA Member Title Or Subject of Workshop
Workshop Information
Please include in the description of the program a brief discussion of the skills/knowledge participants are expected to acquire, detail any prerequisite skill or other requirements and point out any special requirements for space and/or equipment. If the proposal is for a double session workshop (one that requires two meetings during the conference) please be sure to make the time requirements clear for both sessions and explain how they will differ. In your description also explain any relevant connections to previous conference sessions, if they exist, and in what way the material being proposed builds on the previous offering(s).
Workshop Description Please provide a detailed description of the workshop in the space provided below Check the category that best describes the focus of the workshop
T'ai Ch'i Form/Applications T'ai Ch'i Weapons T'ai Ch'i Philosophy Ba Gua Hsing Yi Shaolin Other Forms - Please explain:
Total Time Requirement 1 Hour 1 1/2 Hours 2 Hours 2 1/2 Hours 3 Hours 3 1/2 Hours 4 Hours
Does this workshop require
Single Session Double Session
Is this workshop a "follow-up" to a workshop offered at a previous conference? Yes No
Skill Level or Prerequisite Requirements Beginner Intermediate Push Hands Experience Teachers Only Other Pre-requisites Special Requirements/Equipment/Space
Presenter/Presenters Qualifications
