Panelist and Moderator Forms

We are making use of three speaker forms as a means of streamlining the process. We need different information from our speakers at different points during the event organization process and we have found using a single form creates a bottleneck and delays in obtaining the necessary information. Thank you for your understanding!

Other forms will appear on this page as we seek additional information from our speakers. Please scroll down to find Forms 1-3.

Form 1: APFM 2025 Conference Speaker Agreement

We look forward to having you present at the 2025 APFM Conference! Please complete the below form at your earliest convenience. This form is your confirmation to your role in the conference, as well as time and date of your presentation, as summarized in the email you received from our conference committee members.

APFM 2024-25 Conference Speaker Agreement
Are you a Solo Presenter, Panel Moderator or Panelist?

Speaker Info

This will be listed on all conference materials.
This will be listed on all conference materials. Please include all designations.
We need a phone number to which we can text you on the day of the session.
0 of 250 max words
Please include your short professional bio - no more than 250 words

Maximum file size: 2MB

Please upload your most current professional headshot (in JPEG or PNG format). If you are unable to upload through this form for any reason, please email your headshot ASAP to: [email protected]

Speaker Agreement

Please confirm your agreement with the statements below.
Participation *
Technology *
Expenses *
Registration *
Notification *
For questions, please contact APFM at [email protected] or 802-823-2566.
Content *

Release

I AGREE THAT THE ACADEMY OF PROFESSIONAL FAMILY MEDIATORS MAY:
Use of Name and Bio *
Use of Content *
Copyright Ownership of All Conference Recordings *
Understanding *

Questions, please contact:

Kacy Wiant, APFM Administrator
[email protected]

Signature and Agreement Submission

Captcha

Form 2: APFM 2025 Presenter/Moderator Workshop Information

 

APFM 2024-25 Presenter/Moderator Workshop Information
Are you a Solo Presenter or Panel Moderator?
0 of 200 max words
Please provide a description of your presentation or panel suitable for Conference promotions, marketing and schedule. It should indicate the primary attendee "takeaways" and be no fewer than 100 words and no more than 200 words. Please note the marketing blurb may be edited by APFM's editor.

Form 3: APFM 2025 Presenter/Moderator Technology Needs & Materials for Participants

 

APFM 2024-25 Presenter/Moderator Technology Needs & Materials
Are you a Solo Presenter or Panel Moderator?
Would you prefer a Zoom webinar or meeting?

Zoom Webinar
Only you and other panelists will appear on the screen. You will not be able to see participants or make your presentation interactive. Participants will be able to ask questions via Q&A function though. Best for panels and non-interactive presentations.

Zoom Meeting
Speaker and attendees will be able to be seen on screen. Will be able to interact with participants and include them in the conversation. Best for interactive presentations.

Please describe any special or unusual technological support you will require. If none, please type N/A

Maximum file size: 10MB

Please provide any presentation/workshop materials you would like to share with Conference attendees. These will be made available on the APFM Conference website for attendees before the Conference. We prefer all moderators collect materials from their panelists and submit at one time if possible. If you are unable to upload materials through the Google form for any reason, please email them ASAP to [email protected]

Thank you to our Sponsors!

Please visit our sponsors' websites to learn more about their valuable contributions to the professional family mediation community.

ADR Notable logo

Keynote Sponsor

Finding Common Ground logo

Mediator Lounge Sponsor

OMA logo

State and Local Sponsor

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