Your Name (required)

Your Area or Region (required)

Your Email (required)

Your Phone

Clean Date (required)

Tell us about your yourself. What experience in NA service or anywhere else, makes you uniquely qualified to present this workshop?

Short Biography

Describe the workshop you would like to present; the title, a short summary that we could put in the program, the objectives (what attendees will learn or be able to do after attending) and a high-level outline of what you plan to present. Some or all of this may change between now and the symposium. We're just looking for your ideas today.

Workshop Name

Learning Track(s) (required)
Fellowship DevelopmentInformation TechnologyPublic Relations
Summary

Objectives

Outline

If you have a file that you would like us to take a look at, like an audio file, PowerPoint presentation, or a handout, please attach it here.

File Upload (10 MB Max)

Please let us know if you are willing to help out at the symposium.

I Am Willing To
Speak At A MeetingChair A WorkshopWork RegistrationHelp Out Anyway I Can

If there's something else in particular that you'd like to do, let us know.

Something Else