Speaker Request Form
NNJ ATD seeks creative, solutions-oriented sessions that impact attendee performance back on the job. We
encourage presenters to find innovative ways of sharing their experiences, knowledge, research and case studies in an interactive format.

Upon acceptance, you will be notified for further coordination.

NOTE: Presentations may not be sales pitches. If you are a supplier and/or service provider, it is recommended that you coordinate your session with a user, customer or client.
Speaker Name *
Your answer
Company *
Your answer
Contact Phone *
Your answer
Email Address *
Your answer
Website
Your answer
Professional Introductory Bio: *
Your answer
Books/CD’s/Articles Published:
Your answer
1st Reference - Where have you spoken before? *
Name of Audience / Contact Person / Title / Company / Phone No
Your answer
2nd Reference - Where have you spoken before?
Name of Audience / Contact Person / Title / Company / Phone No
Your answer
Type of Presentation Method - check all that apply *
Required
Title *
Clearly describe your session in 10 words or less. If you have more than one possible session, list the various titles and where we can find details.
Your answer
Description *
Describe your presentation in 150 words or less
Your answer
What business challenge(s) does your program address? *
Your answer
Key Learning Objectives *
Your answer
How will you engage the audience in learning?
Your answer
What best practices, case studies, etc will you share? *
Your answer
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