INTERNATIONAL ALCHEMY CONFERENCE 2010

    SPEAKER APPLICATION

To be considered as a speaker at this year's Alchemy Conference, 

fill in the form below and click "Submit." You can also attach files

(resumé, formal proposal, flyers, specification sheets, etc.) for our

consideration at the bottom of the form.

 

The conference dates are October 8-11, 2010, for all lectures and

breakout sessions. Pre-conference workshops will take place

October 8, and post-conference workshops will take place October 11.

 

Please note that the DEADLINE for submitting applications for this

year's conference is April 30, 2010. No applications will be considered

after that date.   

First Name: *
Last Name: *
Title/Credentials:
E-mail Address: *
Website/Blog:
Home Phone: *
Other Phone:
Address: *
Apt/Suite/etc.
City: *
State/Province: *
Postal Code: *
Country: *
Full Bio (1,000 Words):
Short Bio (150 words): *
Speaking Experience:
Type of Presentation:
*
Presentation Title: *
Co-Presenter Name (if any):
Presentation Description: *
In what category does your presentation best fit? *
Modern Alchemy (New Applications)
History of Alchemy & Alchemists
Personal Transformation (Psychology)
Quantum Alchemy (Science)
Social Alchemy (Politics & Economics)
Planetary Alchemy (Environment)
Medical Alchemy (Healing Arts)
Practical Alchemy & Spagyrics
Spiritual Alchemy & Philosophy
Hermetic Sciences (Kabbalah, Tarot, etc.)
Astrology & Cosmology
Art, Literature, & Film
Performance Entertainment or Artwork
Other (explain in box below)
How does your presentation relate to the conference theme of alchemical transformation? *
What will attendees gain from your presentation?
What audio/video or special equipment is required for your presentation? *
What audio/visual or special equipment will you be bringing with you?
Available Days (leave blank for any):
In what ways can you help us promote the conference?
Additional Comments:
Attach Presentation Proposal and/or Resume:

Verification Code:
Enter Verification Code: *

* Required