Call For Speakers
MLCC Presents: U of M Lean Conference 2019

Please fill out this form by July 31, 2019 if you are interested in leading a breakout session for our conference.

Full Name *
Your answer
Job Title *
Your answer
Phone Number *
Your answer
Home Address *
Your answer
Email *
Your answer
Your personal bio (125 words) *
Your answer
Breakout Session Title *
Your answer
Please provide abstract of your session (250 words). Abstract must include specific learner objectives & how they will be achieved *
Your answer
What is the primary format of your sessions? *
What % of your sessions time will include audience participation? Please provide description (i.e. group discussion, simulations, exercises, etc.)
Your answer
Is this program primarily of interest to a specific industry?
Are you able to attend the entire conference: October 18, 2019 10am-3:45pm? *
Please select the most appropriate audience experience level for your session. *
Are you a U of M Alumnus? *
Is your company able to be a sponsor for this event?
Company bio (75 words) *
Your answer
Preferred room layout? *
Your answer
Additional Needs? *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of University of Michigan. Report Abuse - Terms of Service