ILEA Approved Speaker Database Application
The ILEA Education Council accepts, evaluates and maintains a database of approved industry speakers with demonstrated knowledge in the Core Curriculum key competencies as a resource for ILEA Chapters seeking guest speakers. Completion of this application is the first step in the review process. Submission of this application does not guarantee approval and inclusion in the ILEA Approved Database.
Email address *
Speaker Name *
Your answer
Speaker Company Represented
Your answer
Speaker Phone Number
Your answer
Speaker Email
Your answer
Industry Memberships
List all current memberships in industry associations.
Industry Credentials and Certifications
List all current credentials and/or certifications awarded by industry providers.
Date(s) of Presentation
Your answer
Chapter Where Presentation Occurred
Your answer
Location of Presentation (City, State, Region)
Your answer
Core Curriculum Key Competencies
Select the Competency based on the topic and content covered by the speaker.
Key Competency Area Expertise
Provide a description of the topic covered and a review of their presentation.
Your answer
Fees
Please list fees charged by the speaker and length/type of speaking engagement (i.e. 40 minute keynote, 6 hour workshop)
Your answer
Travel & Accommodations
Were travel and accommodations included in the speaking fees paid to the speaker?
Acknowledgement - Option 1 *
I am submitting this on behalf of someone else and acknowledge that by submitting an application for consideration I have permission from the speaker to submit on their behalf.
Required
Acknowledgement - Option 2 *
I am the speaker and consent to my information being reviewed for possible inclusion in a database to be shared with ILEA Chapter representatives.
Required
Name of Submitter *
Your answer
Telephone Number of Submitter *
Your answer
Email of Submitter *
Your answer
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