ATD Mid-Michigan Speaker Proposal
Thank you for considering to share your expertise with our members at a future chapter event. Please complete the form below and be as complete and concisely descriptive as you can. We do use this information to promote our events as well. All starred fields are required fields. If you have questions about using this form, please contact
We do ask the following from your session:

- That it is contained within a 60-90 minute duration

- Presentations/session are to be interactive

- No sales or promotion of product(s) or service(s)

- That your session topic be aligned with one or more areas of our ATD Competency Model .

Chapter meetings are generally held on the 4th Thursday of the month in the early evening or late afternoon.

Name, Job Title
Your answer
Company Name, Company Website
Your answer
Please indicate if phone is Work, Home, or Mobile
Your answer
Email Address
Your answer
Professional Certifications
e.g. SPHR, PHR, CPLP, PMP, etc.
Your answer
I am a national ATD member.
I am a Mid-Michigan ATD Chapter member.
Professional Biography
Brief description for use in marketing materials.
Your answer
Professional References
Please provide name and contact information for two professional references who are familiar with and can attest to your speaking/training performance.
Your answer
ATD Competency Model Area of Focus
Select the ATD Competency to which your program most closely aligns.
Presentation Title
Your answer
Presentation Description
Please provide a brief description, including presentation mode, activities, handouts, etc.
Your answer
Learning Objectives.
Please provide 3 learning objectives that complete the sentence, "After attending this program, learners will be able to..."
Your answer
Presentation Format
Select all that apply
Technical/Equipment Needs
Please select any items below required for your session.
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