NIEAPA Chapter Meeting Presenter Proposal Form

No presentation will be considered if a proposal form has not been submitted. Meeting dates, times and locations of chapter meetings vary. A member of our program committee will contact you to confirm your availability for a specific meeting.

NIEAPA chapter meeting attendees include employee assistance program managers, benefit managers, clinical psychologists, medical directors, social workers, counselors and community liaisons. Our chapter meetings are an excellent opportunity to connect with the EAP community and raise awareness of topics or issues that you believe the community would be interested in learning about.

Please note that this online form does not allow you to save your responses and reopen at a later date to complete. If you prefer a form you can print out and complete please contact Joi Johnson at 312-756-7756 or NIEAPA@corpevent.com.

    Instructions:

    Fill out this form with the appropriate information, clicking submit when the form is complete. You can make revisions as needed prior to submitting the form.
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    Presenter(s) - if more than two presenters, please list others in the Notes section at the end of this form.

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    Second Presenter

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    Description of Presentation

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    CV and Biography

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    References

    Please list the names, telephone numbers and email addresses of at least three people who can discuss your ability to speak about your proposed topic.
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    Persons who are selected to present are encouraged to come to the networking portion of the meeting, just prior to the presentation. NIEAPA asks that you refrain from promoting your business or services as part of your presentation.

    Notes and Confirmation

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    Thank you for submitting a proposal to the Northern Illinois Employee Assistance Professionals Association!

    If you have any questions about this form, please contact Kelly Collins at 312-756-7756 or nieapa@corpevent.com.
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