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https://capsllc.wufoo.com/forms/rise-usa-2023-speaker-submission/
Submission: On January 04 via manual from US — Scanned from DE
Submission: On January 04 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
Name: form158 — POST https://capsllc.wufoo.com/forms/rise-usa-2023-speaker-submission/
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<header id="header" class="info">
<h2 class="0">RISE USA 2023 | Speaker Submission</h2>
<div class="0">Please complete this form. One case study or workshop submission per form please. </div>
</header>
<ul>
<li id="fo158li12" data-wufoo-field="" data-field-type="text" class="notranslate ">
<label class="desc" id="title12" for="Field12"> First Name <span id="req_12" class="req">*</span>
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<label class="desc" id="title13" for="Field13"> Last Name <span id="req_13" class="req">*</span>
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<li id="fo158li29" data-wufoo-field="" data-field-type="text" class="notranslate ">
<label class="desc" id="title29" for="Field29"> Company <span id="req_29" class="req">*</span>
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<input id="Field29" name="Field29" type="text" class="field text medium" value="" maxlength="255" tabindex="0" onkeyup="handleInput(this); " onchange="handleInput(this);" required="" placeholder="">
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<li id="fo158li31" class="notranslate ">
<label class="desc" id="title31" for="Field31"> Email <span id="req_31" class="req">*</span>
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</li>
<li id="fo158li3" data-wufoo-field="" data-field-type="text" class="notranslate ">
<label class="desc" id="title3" for="Field3"> Presentation or Workshop Title <span id="req_3" class="req">*</span>
</label>
<div>
<input id="Field3" name="Field3" type="text" class="field text large" value="" maxlength="255" tabindex="0" onkeyup="handleInput(this); " onchange="handleInput(this);" required="" placeholder="">
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<li id="fo158li35" class=" ">
<label class="desc notranslate" id="title35" for="Field35"> Presentation Length. <span id="req_35" class="req">*</span>
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<option value="Select from..." selected="selected"> Select from... </option>
<option value="Workshop - 90 min"> Workshop - 90 min </option>
<option value="Workshop - 3 hours"> Workshop - 3 hours </option>
<option value="Plenary - 30 minutes"> Plenary - 30 minutes </option>
<option value="Plenary - 45 Minutes (limited spaces)"> Plenary - 45 Minutes (limited spaces) </option>
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</li>
<li id="fo158li5" class="notranslate ">
<label class="desc " id="title5" for="Field5"> Number of Presenters (including you) <span id="req_5" class="req">*</span>
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<p class="instruct" id="instruct5">
<small>All organizations are welcome (preference is given to joint presentations with different organizations presenting together)</small>
</p>
</li>
<li id="fo158li15" class="notranslate ">
<label class="desc" id="title15" for="Field15"> List the names of your potential co-presenters, their organization, and email (if applicable). </label>
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<li id="fo158li33" class=" ">
<fieldset>
<!--[if !IE | (gte IE 8)]-->
<legend id="title33" class="desc notranslate"> Please note that all accepted presentations and workshops need to be presented in person at the event. If chosen to present a case study or workshop, will it be presented by you or anyone else
before the event? </legend>
<!--[endif]-->
<!--[if lt IE 8]>
<label id="title33" class="desc">
Please note that all accepted presentations and workshops need to be presented in person at the event. If chosen to present a case study or workshop, will it be presented by you or anyone else before the event?
</label>
<![endif]-->
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<span class="choice__text notranslate">No</span>
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<li id="fo158li9" class="notranslate ">
<label class="desc" id="title9" for="Field9"> If maybe, please explain. </label>
<div>
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<li id="fo158li10" class=" ">
<fieldset>
<!--[if !IE | (gte IE 8)]-->
<legend id="title10" class="desc notranslate"> Technical Level. <span id="req_10" class="req">*</span>
</legend>
<!--[endif]-->
<!--[if lt IE 8]>
<label id="title10" class="desc">
Technical Level.
<span id="req_10" class="req">*</span>
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<![endif]-->
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<span class="choice__text notranslate">High</span>
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<li id="fo158li7" class=" ">
<fieldset>
<!--[if !IE | (gte IE 8)]-->
<legend id="title7" class="desc notranslate"> If confirmed to present, do we have approval to post you on the event agenda? <span id="req_7" class="req">*</span>
</legend>
<!--[endif]-->
<!--[if lt IE 8]>
<label id="title7" class="desc">
If confirmed to present, do we have approval to post you on the event agenda?
<span id="req_7" class="req">*</span>
</label>
<![endif]-->
<div>
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<span>
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<span class="choice__text notranslate">No</span>
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<span>
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<span class="choice__text notranslate">Still awaiting approval</span>
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</li>
<li id="fo158li11" class="notranslate ">
<label class="desc" id="title11" for="Field11"> Synopsis of your Case Study (100 word max). One case study per form entry. <span id="req_11" class="req">*</span>
</label>
<div>
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<p class="instruct" id="instruct11">
<small>100 word max</small>
</p>
</li>
<li id="fo158li20" class="notranslate ">
<label class="desc" id="title20" for="Field20"> Abstract of your Case Study to be posted on the event agenda. <span id="req_20" class="req">*</span>
</label>
<div>
<textarea id="Field20" name="Field20" class="field textarea large" spellcheck="true" rows="10" cols="50" tabindex="0" onkeyup="handleInput(this); " onchange="handleInput(this);" placeholder="" required=""></textarea>
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<p class="instruct" id="instruct20">
<small>100 word max</small>
</p>
</li>
<li id="fo158li21" class="notranslate ">
<label class="desc" id="title21" for="Field21"> Short bio to be posted on the event agenda (include co-presenters). Bios should contain: Your current role and organization, previous work, and specialties. <span id="req_21" class="req">*</span>
</label>
<div>
<textarea id="Field21" name="Field21" class="field textarea large" spellcheck="true" rows="10" cols="50" tabindex="0" onkeyup="handleInput(this); " onchange="handleInput(this);" placeholder="" required=""></textarea>
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<p class="instruct" id="instruct21">
<small>100 word max</small>
</p>
</li>
<li id="fo158li23" class="notranslate ">
<label class="desc" id="title23" for="Field23"> Headshot or logo to be posted on the event agenda (include your name in the file name). <span id="req_23" class="req">*</span>
</label>
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<li id="fo158li25" class="notranslate ">
<label class="desc" id="title25" for="Field25"> Co-presenter #1 headshot or logo (include their name in the file name). </label>
<div>
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<li id="fo158li27" class="notranslate ">
<label class="desc" id="title27" for="Field27"> Co-presenter #2 headshot or logo (include their name in the file name). </label>
<div>
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<li id="fo158li26" class="notranslate ">
<label class="desc" id="title26" for="Field26"> Co-presenter #3 headshot or logo (include their name in the file name). </label>
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</form>Text Content
CAPS, LLC RISE USA 2023 | SPEAKER SUBMISSION Please complete this form. One case study or workshop submission per form please. * First Name * * Last Name * * Company * * Email * * Presentation or Workshop Title * * Presentation Length. * Select from... Workshop - 90 min Workshop - 3 hours Plenary - 30 minutes Plenary - 45 Minutes (limited spaces) * Number of Presenters (including you) * All organizations are welcome (preference is given to joint presentations with different organizations presenting together) * List the names of your potential co-presenters, their organization, and email (if applicable). * Please note that all accepted presentations and workshops need to be presented in person at the event. If chosen to present a case study or workshop, will it be presented by you or anyone else before the event? Yes No Maybe * If maybe, please explain. * Technical Level. * Low Medium High * If confirmed to present, do we have approval to post you on the event agenda? * Yes No Still awaiting approval * Synopsis of your Case Study (100 word max). One case study per form entry. * Maximum of 100 words. Currently Used: 0 words. 100 word max * Abstract of your Case Study to be posted on the event agenda. * 100 word max * Short bio to be posted on the event agenda (include co-presenters). Bios should contain: Your current role and organization, previous work, and specialties. * 100 word max * Headshot or logo to be posted on the event agenda (include your name in the file name). * * Co-presenter #1 headshot or logo (include their name in the file name). * Co-presenter #2 headshot or logo (include their name in the file name). * Co-presenter #3 headshot or logo (include their name in the file name). * * Do Not Fill This Out