Workshop Proposal Form Template

IGF 2014 - Workshop Proposal Form Template

(Below is a list of the questions and selections that will be on the online submission form which will be made available on 25 March 2014.)

Note: The fields marked with * are compulsory.

Workshop (please see the IGF Guidelines for workshop proposals)

1. Primary contact information:*
   1. Ms. / Mr.
   2. First name
   3. Last name
   4. City
   5. Country of Residence
   6. Nationality
   7. Email
   8. Stakeholder group
   9. Organizational affiliation
   10. Country where organization is based
       
       
2. Secondary contact information:*
   1. Ms. / Mr.
   2. First name
   3. Last name
   4. City
   5. Country of Residence
   6. Nationality
   7. Email
   8. Stakeholder group
   9. Organizational affiliation
   10. Country where organization is based 
       
       
3. Which IGF 2014 sub theme does your workshop fall under?* tick boxes 
   
   1. Policies Enabling Access
   2. Content Creation, Dissemination and Use
   3. Internet as an Engine for Growth & Development
   4. IGF & The Future of the Internet Ecosystem
   5. Enhancing Digital Trust
   6. Internet and Human Rights
   7. Critical Internet Resources
   8. Emerging Issues
   9. Other
      
      
4. Title of proposed workshop: * (60 characters)
   
   
5. Concise description of the proposed workshop, including a specific statement of the Internet Governance problem/question/challenged to be addressed. (Max 250 words) NB: the subject matter of your workshop should be of direct relevance to Internet Governance:*
   
   
6. Name(s) and stakeholder and organizational affiliation(s) of institutional co-organizer(s):*
   1. [note would provide example]
      • John Smith
      • Private Sector
      • Business Name
        
        
7. Have you, or any of your co-organizers, organized an IGF workshop before? If yes, provide the link to the workshop report.* (Tool Tip: Those workshop proponents that have held a workshop in a previous IGF were required to have submitted a workshop report soon after that IGF.)
   • tick box     No report was produced.
     
     
8. Type of session:* (see: Outline of possible session formats)
   
   
   1. Panel
   2. Roundtable
   3. Capacity-building session
   4. Group Work
   5. Birds of A Feather (BoF)
   6. Debate
   7. Flash session
   8. Other
      
      
9. What is the duration of your proposed session? (e.g. 30 minutes, 60 minutes, 90 minutes):*
   
   
10. Please provide up to five subject matter #tags that describe your workshop (e.g. #privacy, #diversity, #security):*
    
    
11. Provide names and affiliations (stakeholder group, organization) of speakers you are planning to invite. (Tool Tip: Please refer to the workshop guideline page for MAG evaluation considerations.)
    
    
    1. [for each speaker] Name
    2. Stakeholder group
    3. Organization
    4. Have you contacted the speaker? Y/N
    5. Has the speaker been confirmed? Y/N
    6. Do you need help in recruiting speakers from certain stakeholder groups? 
       
       
12. Name of Moderator(s) (if any)
    
    
13. Name of Remote Moderator(s)
    
    
14. Describe how you plan to facilitate discussion amongst speakers, audience members and remote participants:
    
    
15. Describe your plans (if any) for remote participation (for example setting up remote hubs or involving remote panelists):
    
    
16. Upload any background paper here (PDF or DOC): (Tool tip: Background papers should be provided in advance of the IGF meeting introducing the subject and setting the scene for the discussions in the session.) (Expected length of the document: 1-3 pages)