Live Webinar Form

Please complete this form at least 2 weeks prior to presenting for MN ADOPT.

Name (include credentials)*

Date of Workshop:*

When would you prefer to check in with your MN ADOPT webinar host:*

1-2 weeks ahead of the live webinar.
20 minutes ahead of the live webinar

If so, please list 2-3 dates and times you’re available to meet (for 20 minutes) and your coordinator will follow up:

Please provide a good contact number (preferably cell phone) to use as needed on the day of the webinar:*

Please confirm you have received the Zoom link for your live event:*

Yes
No

All attendees will be muted & off video during the webinar. We do not have the capacity to allow people to raise their hand and then talk on the live webinar. Would you like to use the “raise hand” option as a chance to see a show of hands?*

Yes
No

For the best attendee engagement, we encourage presenters to use the Q & A box for attendees to ask questions AND use the Chat for answers to questions/case scenarios you have for them. Please note: - You will be responsible for keeping an eye on the Q & A and/or Chat boxes. - When answering questions, we encourage you to read the question from the Q&A box as some participants may not see the question. - For confidentiality purposes, please avoid reading any specific names in the Q & A. - Your webinar host will assist in dismissing questions in the Q &A as you answer them.

Do you prefer attendees use the Q & A and/or chat box?*

Q & A only
Q & A and Chat boxes
Chat only

Are you interested in using Zoom polls?*

Yes
No

We do encourage at least 2 polls, or use the Chat/Q & A to keep people engaged. If you’d like to use polls, please send your coordinator the questions & multiple choice answers.

Will you be using an additional platform to engage attendees (Menti, Jamboard, etc)? If so, please list the name here:

We will not be using breakout groups, or other Zoom features not listed above.*

I understand.

You will manage your power point during the webinar including advancing your own slides. We will email the power point to attendees after the event only, and not to registrants ahead of the event unless there is a specific request to do so.*

I understand.

If your presentation is 120 minutes or more in length, you are welcome to offer attendees a 5-minute break. We ask that you clearly tell participants a time to be back on their computers. Do you plan to take a break?*

Yes
No

Your live webinar should not include any material belonging to anyone other than you (e.g. YouTube videos, clip art) unless you have lawfully purchased the right to use the material in the webinar. This similar wording was in the contract you signed for MN ADOPT.*

I will be using legally obtained videos or videos of my own creation
I will not be using videos

Your webinar host will be on the webinar with you the entire time. They will do an introduction including some announcements. You can remain on mute with your camera off during the introduction. When they finish reading your bio, that is an indicator that you are next. Remember to take yourself off mute and turn your camera on. At the end of the presentation, the webinar host will share some additional information at which time you can go off camera or leave completely.*

I understand.

I agree to provide my presentation slides to MN ADOPT at least 2 weeks before the webinar for MN ADOPT’s review. I understand MN ADOPT must keep an internal copy of my slide presentation on-file for auditing purposes.*

I understand.

MN ADOPT can provide a copy of your presentation slides to webinar attendees?*

□ Yes, MN ADOPT can provide a copy of my presentation slides to workshop attendees.
□ No, but I will provide a handout or resource list for workshop attendees.

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