ATDChi Speaker Proposal
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Email *
Primary Presenter's name *
Presentation Name or Topic *
Primary Presenter's Phone No *
Primary Presenter's email address (if different from that provided above)
Primary Presenter's Website
Primary Presenter's LinkedIn Profile
Primary Presenter's Twitter Handle
Primary Presenter's Facebook Profile
Are you a member in good standing with *
List your ATD Chapter(s) memberships (other than ATDChi), if any.  
What key domain of practice in the ATD Capability Model ( does your presentation address? *
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This form was created inside of Association for Talent Development, Chicagoland Chapter.