Programming
 

Panel Programming: Application Form



Your Real Name:
Your E-mail:
It is up to you to provide an accurate e-mail address which can receive e-mail from providenceanime.com. Add us to your whitelist if you use an aggressive e-mail filter.
Name of Panel:
List of Panelists: List all panelists (including yourself) how they should appear in our program guide:
Panel Description: Please give us a brief description of your panel for our program guide:
Qualifications: What is your background and why do you feel you are a good candidate to speak on this topic?
Length: How long will the panel last?
Equipment: Other than microphones, do you need any special equipment for this panel?