"*" indicates required fields This field is hidden when viewing the form👤 Submitted by:Full Name * Required First Name Last Name Email * Required Enter Email Confirm Email Select reason for getting in touch * Required— select —reporting technical issue or error with websitenewsletter/email notifications questiondonation questionspeaking inquiryinterview inquirytestimonialguest post contribution inquiryotherThe issue/error is regarding… * Required Content (typo, other errors) Newsletter signup eCourses The Guided Search Something else is broken Other Where is the error? * RequiredPlease provide the title and/or URL of the content with the error. 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If you do not have this information, that’s okay!Date of donationMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Transaction ID / Reference number / Check numberIf you have it, please provide any unique identifying number for this donation.(Depending on the platform, this may be a reference number, transaction ID, order number, invoice number, or other term. If you wrote a check, please enter the check number.)Would you like your testimonial added to the website?Check this box if you are open to your testimonial being included on the Testimonials page here. This is completely optional.Also, if you do check this box, there will be an additional field at the end of this form if there’s anything you’d like to share privately. Yes, display my testimonial on the website How would you like to be credited on the testimonial? * RequiredYou may use any name, just initials, or even a pseudonym if preferring anonymity.Organization (if applicable)Event name (if applicable)Is the date flexible or specific? * Required Flexible Specific date This field is hidden when viewing the formDate of speaking event * RequiredPlease indicate the date of the proposed speaking event. NOTE: Date is in US format of MM/DD/YYYMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920This field is hidden when viewing the formPlease elaborate on the date flexibility: * RequiredThis field is hidden when viewing the formSpeech length * RequiredHow long would Emily’s speaking time slot be for?Event DetailsIs this an in-person or online event? * Required In person Online This field is hidden when viewing the formEvent location (if available) City State / Province / Region CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country This field is hidden when viewing the formIs this event open to the public? * Required yes no Who is the expected audience? * RequiredPlease indicate whether the audience will be: (1) primarily non-vegan or vegan; (2) the general age range (eg. adults, young adults, children); (3) any specificity (if applicable) such as students, particular professions, etcWhat is the expected attendance? * RequiredTechnical DetailsThis field is hidden when viewing the formIn-person tech detailsIs there a presentation screen setup at the venue? * RequiredPlease indicate whether Emily would be able to have a slideshow presentation as part of her speech. PLEASE NOTE: Emily needs to have her own laptop on a podium next to her. If this is not possible, please select “no” and provide details in your message. yes no What kind of connector would the projector use?Please indicate the connection that would be used. Emily has a MacBook Pro. HDMI USB Other This field is hidden when viewing the formOnline tech detailsWhat platform/application will be used for the speech? * Required Skype Zoom Other Would Emily be able to present a slide show during her speech? * RequiredPlease indicate whether Emily would be able to present a slideshow as part of her speech. yes no Travel DetailsIs there funding available to defray travel & lodging costs? * RequiredPlease note that Emily will not accept payment for speaking—all Bite Size Vegan educational services are provided free of cost. Additionally, defraying travel costs is not a requirement, but is a factor that must be considered. yes, travel only yes, lodging only yes, travel and lodging no Is lodging available/pre-arranged? * RequiredPlease indicate whether Emily would need to arrange for her own lodging. yes no Interview method * Required Skype Zoom Phone Email In-person Other This field is hidden when viewing the formWould this be a video or audio-only interview? * Required video audio-only This field is hidden when viewing the formApproximate interview length * RequiredDecision deadline * RequiredPlease indicate the cut-off date by which you would need to know whether Emily would be available.MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 How to Change Your Email Notifications SettingsTo change your email notification preferences:Find any email from emily@news.bitesizevegan.org in your email clientClick the link in the footer for updating your notification preferences If your question is about something else regarding the newsletter, please check the box below to complete the form.This field is hidden when viewing the formStill have newsletter question (non-user subscriber) I still have a question about the newsletter/email notifications What email are you subscribed with?Please enter the email address your subscription is under. Enter Email Confirm Email Please NoteAs much as she truly would like to, due to the time constraints of running Bite Size Vegan, Emily is unable to answer all general inquiries. You are still more than welcome to send one along! She will reply if at all possible. Thank you for your interest in contributing content to BiteSizeVegan.org, however I am not accepting freelance work at this time. Message Subject * RequiredPlease provide a brief subject line summarizing your reason for getting in touch (MAX: 60 characters)Please describe the issue/error: What is your donation-related question?Please provide any additional details or information:Please elaborate on your inquiry: This field is hidden when viewing the form💬 MessageYour message text * RequiredThis field is hidden when viewing the formPlease share your testimonial: * RequiredAnything you want to share privately? (optional)If there’s anything you want to share about or in addition to your testimonial, but do not want published on the website, you may enter it here.PhoneThis field is for validation purposes and should be left unchanged. Δ 2013-06-17T19:09:18-05:00
