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ATDChi Speaker Proposal
Before completing this form, please go to
https://atdchi.org/Speaker-Submission-Guidelines
to review our speaker guidelines and tips.
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* Indicates required question
Email
*
Your email
Primary Presenter's name
*
Your answer
Presentation Name or Topic
*
Your answer
Primary Presenter's Phone No
*
Your answer
Primary Presenter's email address (if different from that provided above)
Your answer
Primary Presenter's Website
Your answer
Primary Presenter's LinkedIn Profile
Your answer
Primary Presenter's Twitter Handle
Your answer
Primary Presenter's Facebook Profile
Your answer
Are you a member in good standing with
*
ATD
ATDChi
Other ATD chapter(s) (please list the chapter(s) below.)
Not a member of ATD or an ATD Chapter
Required
List your ATD Chapter(s) memberships (other than ATDChi), if any.
Your answer
What key domain of practice in the ATD Capability Model (
https://capability.td.org/
) does your presentation address?
*
Choose
Developing Professional Capability
Developing Personal Capability
Impacting Organizational Capability
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