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?
Select one...
30 minutes
60 minutes (recommended)
90 minutes
120 minutes
Other - Please comment
Equipment:
Other than microphones, do you need any special equipment for this panel?
quick links
Programming
Guests of Honor
Welcome Reception
Video Programming
Panel Programming
Cosplay Fashion Show
Cosplay Skit Exhibition
Manga Library
Artists' Alley
Art Expo
Game Shows
Formal Ball