Contact the webmaster if you have encounter any issues in submitting your application. 2021 Annual Event Workshop Application Step 1 of 4 25% Are you the person who will be leading this workshop?*YesNoIf No:Please enter your contact information.First NameLast NameEmail AddressPhone NumberOrganization, if applicableStep 1: Enter Workshop Leader's DetailsName* First Last Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Email* Preferred Phone*Church/Organization*Job TitleAPCE Member?*YesNoDenomination(s)* Christian Reformed Church in North America Cumberland Presbyterian Moravian Church in North America Presbyterian Church (U.S.A.) Reformed Church in America The Presbyterian Church in Canada Other If other, please specify.Workshop Leader BiographyPlease submit a brief bio (max 50 words). Please include your name, where you serve, and one or two accomplishments or personal information. Use third person. Some examples: Jane Doe, Certified CE., is the Director of Christian Education at First Christian Reformed Church, Grand Rapids, MI. Jane has an article in the Journal for Spirituality entitled "Yes, God." Jane Doe, Ph.D., is the Pastor at First Reformed Church, Austin, Texas. Jane loves her dog, skydiving, and doing crafts with her trusty glue gun. Jane Doe is the Associate Pastor for Youth at First Presbyterian Church, Hampton, CA. Jane is passionate about seeing middle schoolers meet Jesus, learn to pray, and have great fun serving God. Biography (max 50 words)*Has the workshop leader published any books or resources?YesNoIf yes, please list and describe the most recent books or resources.Has the workshop leader presented a workshop at a previous APCE Annual Event?*YesNoIf Yes:If you have presented more than one workshop at a previous APCE Annual Event, please select the plus sign to add more. Title of WorkshopYearCity Step 2: Enter Co-Leader's InformationThis step is for workshops led by two or more Workshop Leaders. Reminder: only one presenter per 1.5 hour workshop is given the reduced registration. If you are presenting by yourself, please mark no and skip this step. Will there be a co-leader?*YesNoIf co-leading, give name of leader who will receive reduced registration.*Co-Leader Details:Name* First Last Email* Preferred Phone*Church/Organization*Job TitleBiography (max 50 words)* I need to add an additional leaderSecond Co-Leader DetailsName* First Last Email* Preferred Phone*Church/Organization*Job TitleBiography (max 50 words)* I need to add an additional leaderThird Co-Leader DetailsName* First Last Email* Preferred Phone*Church/Organization*Job TitleBiography (max 50 words)* Step 3: Enter ReferencePlease list another person who has experienced your workshop leadership. This person may be contacted as the selection process occurs.Reference Name* First Last Reference Email* Reference Phone*Relationship to Applicant* Step 4: Enter Workshop InformationWorkshop Title: (approximately 12 words)*Description of workshop as you would like it to appear in publicity (max 60 words)*Have you taught this workshop before?*YesNoIf YES, when and where?Maximum # of Participants you recommend:*Suggested Workshop Length:*1.5 hours3.0 hoursAre you willing to repeat workshop?*YesNoSkill Level:* Basic Intermediate Advanced All Levels Primary Workshop Category (choose up to 3 categories that best fit):*Bible and TheologyFaith Formation/DiscipleshipLeadershipMission and Social JusticeMulticulturalOutreach/EvangelismReconciliation/Conflict ResolutionResource CenterSpiritualityRecreation/PlayCommunity BuildingCreative ArtsWorship and MusicPastoral SkillsOtherOther (specify)*Second Workshop Category (choose up to 3 categories that best fit):Bible and TheologyFaith Formation/DiscipleshipLeadershipMission and Social JusticeMulticulturalOutreach/EvangelismReconciliation/Conflict ResolutionResource CenterSpiritualityRecreation/PlayCommunity BuildingCreative ArtsWorship and MusicPastoral SkillsOtherOther (specify)*Third Workshop Category (choose up to 3 categories that best fit):Bible and TheologyFaith Formation/DiscipleshipLeadershipMission and Social JusticeMulticulturalOutreach/EvangelismReconciliation/Conflict ResolutionResource CenterSpiritualityRecreation/PlayCommunity BuildingCreative ArtsWorship and MusicPastoral SkillsOtherOther (specify)*Specialized Ministry:* Children Youth Young Adult Adult All Ages Intergenerational—Multiple ages learning together Special Needs Workshop Audience:* Educator Pastor Volunteer Staff of church or organization Other Other (specify)*Workshop Style:* Lecture Group Conversation Hands-on Interactive Movement Joyful Noise (drums, singing, etc.) Other (specify) Other (specify)*Internet: As a presenter, do you require internet to lead your workshop?*YesNoInternet Preference*Wi-Fi OkHard-wired PreferredDo all participants need Wi-Fi?*YesNoWill you require audio-visual projection capabilities?*YesNoIf AvailableWe do not provide supplies. Do you require a supply fee?*YesNoIf yes to supply fee, suggested amount per attendee (US$) This concludes your application.