Speaker Proposal Form
This form is for those wishing to present at an ATD MD dinner program or event. Speakers would typically present for 60-90 minutes at our dinner program.
Email address
About You:
Your Name
Your answer
Job Title
Your answer
Company
Your answer
Phone Number
Your answer
Speaker Biography
Will be used to create event posting.
Your answer
About Your Presentation:
Please give as many details as possible about what you wish to present.
Topic Title
Your answer
Topic Description
Your answer
Attendee Objectives
Your answer
ATD Competency Model Connection
Required
How do you plan to make presentation interactive?
Your answer
Please share with us the name and email address/phone number of a reference who can vouch for your speaking ability. (Or, list previous speaking engagements.)
Your answer
[OPTIONAL] Please include the link (URL) of a video of a previous speaking engagement.
Your answer
Please include a preliminary outline of your lesson plan and objectives.
Your answer
Additional comments
Your answer
Please complete the captcha before submitting the form.
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