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ATDChi Speaker Proposal
Before completing this form, please go to ATDChi Speaker Guidelines to review our speaker guidelines and tips.
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Email *
Primary Presenter's name *
Presentation Name or Topic *
Primary Presenter's Phone No *
Primary Presenter's email address (if different from that provided above)
Primary Presenter's Website
Primary Presenter's LinkedIn Profile
Primary Presenter's Twitter Handle
Primary Presenter's Facebook Profile
Are you a member in good standing with *
Required
List your ATD Chapter(s) memberships (other than ATDChi), if any.  
What key domain of practice in the ATD Capability Model (https://capability.td.org/) does your presentation address? *
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