Agenda Recommendation Form

Please complete the following form by June 30 to recommend an agenda item for the 2025 National Federation of the Blind of New Jersey State Convention. Your submission will be considered by the Agenda Planning Committee for either a breakout session or the general session. If the committee doesn't select your recommendation this year, it might be considered for next year's state convention.

Recommender's First Name Recommender's First Name

Recommender's Last Name Recommender's Last Name

Best Contact Phone Number Best Contact Phone Number

Email Email

Name of Segment/Panel Name of Segment/Panel

Contact Information for primary speaker

Contact Information for primary speaker Contact Information for primary speaker

Speaker's First Name Speaker's First Name

Speaker's Last Name Speaker's Last Name

Best Contact Phone Number Best Contact Phone Number

Speaker's Email Speaker's Email

Brief Description Brief Description

Agenda Recommendation Form

Agenda Recommendation Form

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