* Template only, submission form will be made available on 9 March, 2015.
Please consult the Guidelines for IGF Workshop Proposals before submitting your proposal. All fields are compulsory.
1. Primary contact information:
a. Ms. / Mr.
b. First name
c. Family name / Surname
d. City
e. Country of Residence
f. Nationality
g. Email
h. Stakeholder group (Civil Society; Government; Intergovernmental Organisation; Private Sector; Technical Community)
i. Organizational affiliation
j. Country where organization is based
2. Secondary contact information:
a. Ms. / Mr.
b. First name
c. Family name / Surname
d. City
e. Country of Residence
f. Nationality
g. Email
h. Stakeholder group (Civil Society; Government; Intergovernmental Organisation; Private Sector; Technical Community)
i. Organizational affiliation
j. Country where organization is based
3. Workshop Format (tick one). Please click here for a description of available Workshop Session Formats.
a. Break-out group discussions
b. Debate
c. Roundtable
d. Birds of a Feather (BoF)
e. Flash Session
f. Panel
g. Other
4. In an effort to enhance participation, workshop proponents are encouraged to use formats other than the panel format. If you would like to use the panel format, you must provide a background paper as described here. Please upload your paper here.
5. Duration of proposed workshop. (NB that different formats have different durations – please check the duration options here).
a. 30 minutes (Flash Session or BoF formats only)
b. 60 minutes; or
c. 90 minutes
6. Which of the IGF 2015 subtheme(s) does your proposed workshop fall under?
7. Title of proposed workshop: (60 characters)
8. Concise description of proposed workshop, including a specific statement of the Internet Governance problem/question/challenged to be addressed. (Max 250 words)
9. Name, stakeholder group (Civil Society; Government; Intergovernmental Organisation; Private Sector; Technical Community), and organizational affiliation of workshop proposal co-organizer(s): [Example: Jane Doe, Civil Society, Organisation Name]
10. Have you, or any of your co-organizers, organized an IGF workshop before? If yes, provide the link to the workshop report. NB: Workshop proponents that have held a workshop in a previous IGF were required to have submitted a workshop report following that IGF.
11. Please provide up to five subject matter #tags that describe your workshop (e.g. #privacy, #diversity, #security):
12. Describe how you plan to facilitate discussion amongst speakers, audience members and remote participants:
13. Provide names and affiliations (stakeholder group, organization) of the participants in your proposed workshop. Confirmation of specific participants at this stage is not necessary, but a description of the planned views/perspectives of participants you wish to include is required. (NB: Please refer to the workshop guideline page for MAG evaluation considerations.)
• [for each speaker] Name
• Stakeholder group (Civil Society; Government; Intergovernmental Organisation; Private Sector; Technical Community)
• Organization
• Describe why this speaker has been selected
• Have you contacted the speaker? Y/N
• Do you need help in recruiting speakers from certain stakeholder groups?
14. Name(s) of in-person moderator(s) (if any)
15. Name(s) of remote moderator(s)
16. Name(s) of rapporteur(s)
17. Describe your plan for remote participation:
18. Upload any additional background paper here (PDF or DOC). Background papers should be provided in advance of the IGF meeting introducing the subject and setting the scene for the discussions in the session. They are required for panel sessions, and optional for all other formats. (Expected length of the document: 1-3 pages)