IGNITE: 2019 Annual Conference on Independent Living July 22-25, 2019; Grand Hyatt, Washington, DC Workshop Proposal Form Email this form to angela@ncil.org. This form is for planning and accommodation purposes only. Please use the online workshop proposal form if you are able (https://ncilforms.wufoo.com/forms/2019-call-for-workshop-proposals/). Deadline for Submission is Monday, January 28, 2019. No proposals will be accepted after 11:59 p.m. Eastern time. The workshop organizer is the only individual to be contacted regarding the conference. The workshop organizer is responsible for notifying all presenters and co-presenters. Please be sure that all presenters agree to present and to the conditions set forth in this document. * Title of Workshop: Workshop Organizer (First and Last Name): Contact Email: Presenter #1 Email: Presenter #1: Please include the presenter's name, title, organization, and a brief biography (100 words or less) Presenter #2 Email (if applicable): Presenter #2: Please include the presenter's name, title, organization, and a brief biography (100 words or less) Presenter #3 Email (if applicable): Presenter #3: Please include the presenter's name, title, organization, and a brief biography (100 words or less) Presenter #4 Email (if applicable): Presenter #4: Please include the presenter's name, title, organization, and a brief biography (100 words or less) Presenter #5 Email (if applicable): Presenter #5: Please include the presenter's name, title, organization, and a brief biography (100 words or less) Add additional presenters if necessary. Workshop Track (choose one) by placing an ‘x’ next to your selection: [ ] Ignite Our Political Power Track: Workshops addressing the political power of the disability community, including voting rights, running for office, and systems advocacy. [ ] Ignite New Leaders Track: Workshops related to building new leadership by including and prioritizing the perspectives of youth, people of color, people who are LGBTQ, and other advocates under-represented in the IL Movement. [ ] Ignite the IL Network Track: Workshops addressing innovation and promising practices in the core services of Centers for Independent Living, especially the new core services of youth transition, transition from institutions to the community, and avoiding institutions. [ ] Healthcare Track Sponsored by the WITH Foundation: Workshops related to healthcare, including healthcare policy and advocacy, along with the healthcare landscape and contracting with Managed Care Organizations and other healthcare providers. [ ] Ignite Our SILCs Track: Workshops covering best practices and innovation in operations and programs of Statewide Independent Living Councils. Target Audience (choose one): [ ] Front Line Staff and Consumers: Focus on building capacity among staff working with consumers or among consumers themselves. [ ] Advocates and Project Directors: Address the needs of managers / supervisors or those who work on issues of systems change. [ ] Executive Directors and Board Members: Meet the needs of those running a CIL or SILC, including development of board members. [ ] Appropriate for all audiences Knowledge Level (choose one): [ ] Newcomer: Someone who is new to the Independent Living or Disability Rights Movement, including: consumers, individual advocates, new CIL staff, etc. [ ] Experienced: This person is someone who has worked in a Center or who has a disability and has been active in promoting disability rights. [ ] Appropriate for all knowledge levels Type of Presentation (choose one): [ ] Roundtable Discussion: A facilitated discussion group that centers on a series of CIL and SILC issues related to Advocacy, Best Practices, or Enforcement/Implementation. [ ] Training Workshop: An experiential learning opportunity with specific training objectives for workshop participants; focus on building new skills, changing attitudes, or increasing values. [ ] Best Practice Symposia: An intense examination of "best practice(s)" in independent living; presented by an individual or panel with the audience sharing and analyzing successes and failures, best practice symposia are expected to produce a summary of what was found in their examination. [ ] Lecture: A speech or presentation by an individual or a panel, allowing time for questions and answers. Lectures should use a variety of media, such as presentation slides, flip charts, film, and handouts. [ ] Poster Session: A poster session is the presentation of research information with an academic or professional focus. Posters are displayed throughout the NCIL Conference space at the discretion of the presenter. [ ] Film Screenings: Documentaries and other films that address disability from the Independent Living perspective. Film must be captioned and voice described to be considered. Audio Visual & Setup NCIL will provide a table, two chairs, two microphones, a flipchart and markers, and a projector and screen for each workshop. Other Audio / Visual equipment is available at the presenter’s expense from the audio visual provider at the Grand Hyatt Washington. NCIL staff is happy to share pricing and handle equipment requests for presenters. Those additional Audio / Visual requests will be due Friday, May 31, 2019. After the conference concludes, NCIL will follow up with an invoice. Audio-Visual Aids * [ ] No Additional Equipment [ ] Other Please provide a brief summary of your workshop. If accepted, this summary will be printed in the Conference Program to advertise your workshop to our attendees (100 words or less): What will participants gain as a result of attending your proposed session? I.E., what are the "learning objectives" of your proposed session? Describe the purpose and nature of your proposed session. Be specific about how you will lead the session, including what topics will be covered: Why are you the best person to conduct this proposed session? Describe your history, involvement and/or experience in the Independent Living Movement and why you think you would be a good presenter or facilitator: Describe how your session will be interactive. How will you engage your participants so that they will be active participants in the session? Your name below indicates your understanding of all that has been presented above and certifies that you are the workshop organizer (contact person) for the session title you have proposed. If you have any questions about this form or the work of the Committee, please contact Angela Ellman at angela@ncil.org.