Program Participant Questionnaire II

Rev. 03-May-2000

E-mail: prog@chicon.org

Please fill out this form and return it to Steven H Silver by Saturday, 01-July-2000. This is a very firm deadline. If you have any questions, feel free to contact Steven at prog@chicon.org or 847-272-0689 (evenings before 9:30 CT). Please note that filling out this, or subsequent questionnaires, does not guarantee a spot on programming.

A PDF of the form is available

Chicon 2000 Program Participants Questionnaire
Name
Street Address
City
State/Country
Postal Code
Country (if not USA)
Phones
E-mail

Preferred method of Communication:
Postal Mail E-mail
Telephone -- Call when?

1. What contact information may we release (check all that apply)

Address?: Co-Panelists; Millenium Philcon (2001 Worldcon); Other Conventions
Phone Number?: Co-Panelists; Millenium Philcon (2001 Worldcon); Other Conventions
Email Address?: Co-Panelists; Millenium Philcon (2001 Worldcon); Other Conventions

2. What day and time are you arriving?

Date?: Tuesday, 29-Aug; Wednesday, 30-Aug; Thursday, 31-Aug; Friday, 01-Sep; Saturday, 02-Sep; Sunday,03-Sep; Monday,04-Sep
Time?

3. What day and time are you departing?

Date?: Wednesday, 30-Aug; Thursday, 31-Aug; Friday, 01-Sep; Saturday, 02-Sep; Sunday, 03-Sep; Monday, 04-Sep; Tuesday, 05-Sep
Time?

4. What blocks of time are you available for programming? (check all that apply)

Breakfast Clubs (0830-1000)

Mornings (1000-1300)

Afternoons (1300-1600)

Evenings (1600-1900)

Nights (1900-0000)

5. Which events should we not schedule you against? (check all that apply)

Guest of Honor Speeches.

6. Are there any other time you are not available?

7. Maximum number of panels.

Per Day?

Whole Con?

8. Are you willing to moderate?

Yes

9. In which of the following activities are you willing to participate?

Readings?: Yes; No
Kaffee Klatsch?: Yes; No
Autographing?: Yes; No
On-Line Chat? (takes place from green room): Yes; No
Filk Concert?: Yes; No
Favorite Readings? (Favorite Readings allows a participant to read from the works of a favorite author and comment.): Yes; No; Whose Work?
Conversations? (Conversations are set up between two participants, who discuss whatever they will for the audience): Yes; No; With Whom?
Demonstrations?: Yes; No; Demonstrate What?
Audience Panel? (Audience panel would include a topic and moderator, but no panelists, the discussion is amongst the audience.): Yes; No; Topic?

10. Is there anyone you specifically do not wish to be scheduled with (this information will be kept confidential)?

11. If you have a ready-made panel, lecture, or presentation, please provide a title, description, list of participants and any special requirements (i.e. audio-visual equipment) you might have?

12. Are there any panels you have done ad nauseum and no longer wish to appear on?

13. Please include a short biography of yourself (if you provided a biography with your first questionnaire, this is not needed). These may be used for Chicon publications.

14. Website Address:

15. Please either list the panel items from the list below you would wish to participate in (this does not guarantee you will be scheduled on those items or that they will be included in the program) or check the box if you would prefer for us to use you where we feel would be most advantageous based on your earlier questionnaire.

By clicking here, you will open another window with a list of topics that Chicon is already working with.

Also, if you choose numbers from the list, please also indicate the category (enter Academic 15, rather that just the number 15.)

Any panel is fine.

Previous: Suggestion Box

Next: Academic Track

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