Unity In Marin Workshop Proposal This the form to fill out if you are interested in presenting a workshop at Unity In Marin. Contact Information RED = Required Field. First: Last: Contact Phone: Home Phone: Work Phone: Mobile Phone:    Email: Street: City: State: Select...AK AL AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB BC MB NB NF NS NU NT ON PE QC SK YT NS QL SA TS VI WA Zip: * Notes: All answers to questions are required unless noted by "(optional)". 1 What is the title of your workshop? 2 Please provide a description of the content of your workshop: 3 What portion of this workshop will be interactive? 25%   50%   75%   100%   4 What is the format of your workshop? Film/Media   Lecture   Interactive   Experiential   Other   5 If you chose "other" or "combination" please explain: (optional) 6 What is the time requirement for your workshop/presentation? 1 to 2 hours   2 to 4 hours   4 to 6 hours   full day   two day   three day   four day   other   7 Alignment with Unity Principles A discussion of how your work aligns with Unity principles and how these principles are incorporated into your workshop/presentation. 8 Intended Outcome(s): Please provide a description of the experience/growth or change you envision for participants. 9 Proposed Dates Please tell us the preferred schedule for your workshop/presentation. 10 Audience Who is your intended audience? General   Children   Adults   Seniors   Families   Couples   Singles   Other   11 Audience Size What is the intended audience/group size? 10-20   20-40   40-60   60-100   100-150   150-250   Other   12 Space Requirements Please describe your anticipated facility space and equipment needs.