Speaker Form

“Building a Culture of Community:

Equipping Leaders for Mental Health Ministry”

May 19-21, 2022

Jesuit Retreat Center - Los Altos, CA

 

  1. HONORARIUM, LODGING & MEALS

An honorarium of $700.00 will be paid to the keynote speaker, including a travel stipend. Please email a signed W-9 to Esther Garcia at ncpdevents@ncpd.org by April 30, 2022, for receipt of the honorarium onsite. A complimentary full conference registration, which includes all meals and lodging will also be provided; the honorarium will be paid at the time of the conference. 

  1. GROUND TRANSPORTATION

    Ground transportation will be provided or reimbursed. If ground transportation is requested please provide your flight itinerary. 

  2. AV NEEDS

If you are using a PowerPoint presentation, please email an electronic copy by May 13, 2022, to Esther Garcia at egarcia@ncpd.org. Please also bring your presentation on a flash drive. Please print and bring copies of any handouts.

12 word limit
75 word limit
12 word limit
12 word limit
12 word limit
150 word limit