DallasHR Request to Present Form
Please complete this form in its entirety in order to be considered by the DallasHR Programming Committee.
Name *
Your answer
Credentials
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Job Title *
Your answer
Company *
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E-Mail Address *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone *
Your answer
Fax
Your answer
Presenter Biography *
Your answer
Presentation/Program Title *
Your answer
Presentation/Program Description *
Please provide a description of your presentation (please include relevance/value to HR Professionals and/or the HR Profession)
Your answer
Presentation/Program Learning Objectives *
Please include a minimum of three (3) learning objectives.
Your answer
Presentation/Program Level *
Please select all that apply
Required
Presentation/Program Length *
Number of Minutes
Your answer
HRCI Body of Knowledge *
Please select all that apply.
Required
SHRM Body of Competency & Knowledge *
Please select all that apply.
Required
Has this program been approved for HRCI recertification credit in the past? *
If so, what is the HRCI Program Identification Number
Please indicate credit type (ie: Strategic, General, Global)
Your answer
Preferred Opportunity *
Please select all that apply.
Required
Texas SHRM Chapters
References *
Please list two (2). Include name, email address and phone number.
Your answer
Acknowledgements *
Please note all boxes must be checked in order for your proposal to be considered. By checking the boxes below, you are affirming that you have read and accept the following statements.
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