VSAE Speaker Survey

Thank you for your interest in speaking to our VSAE members. In order to save time, we want to let you know we usually only pay travel expenses and meals. If you are chosen by our Education Committee, you will obviously get the exposure to our members who hire speakers and have much larger budgets than we do.

Our Education Committee meets twice a year, usually in March and August and they usually plan six months ahead.

If you are selected to speak at a monthly meeting, the agenda is:
8:30-11:00 a.m. Seminar (40-50 people, 2.5 hours with a 15 min. break)
12:45-1:15 p.m. Lunch Presentation (140-160 people, 15 min, plus Q&A)
These sessions need to be slightly different as those attending the seminar also stay for the lunch presentation.

You may also be selected to speak at our Annual Conference (May) or our Educational Symposium & Expo (Oct./Nov.). There will be openings for breakouts (60-90 people, 1.5 hours) or general sessions (60-250 people, 1 hour).

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* 1. Speaker Information:

Presenter Name:

Title:

Organization/Company:

Mailing Address:

City, St. Zip

Phone:

E-mail Address:

Website Address:

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* 2. Pertinent qualifying experience (in content area and in instruction) to serve as a presenter:

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* 3. Please list your prior experience presenting to association executives or the association management community (event, audience, years, etc).

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* 4. Description of Current Occupation if other than full-time speaker:

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* 5. Presenter's Education Information:

Degree:

Institution(s):

Major Area of Study:

Minor Area of Study:

Additional Educational Background:

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* 6. Presentation Title:

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* 7. Presentation Description: Please be very specific and accurate on the topics covered in your session, as this description will be used in the marketing materials for the meeting.

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* 8. Would you entertain a slight change in your title and/or description for promotional purposes?

Yes

Suggested changes

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* 9. Presentation Learning Objectives:

Objective 1:

Objective 2:

Objective 3:

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* 10. Will you have a co-presenter?

Yes

If yes, please list the name and contact information for each additional speaker.

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* 11. Audiovisual Needs: Please select below all audiovisual items you would require of VSAE for your presentation. A microphone will be provided to presenters on an as needed basis based on room and audience size.

None

Screen

Extension Cord

Table for Materials

Table for Equipment

Laptop Computer - Speaker will bring their own

LCD Projector

Mouse with Laser Pointer

Presentation contains audio/music and requires a mixer

Lavaliere Microphone

Wireless Handheld Microphone

Wired Podium/Handheld Microphone

Other Audiovisual Needs (please specify)

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* 12. I acknowledge and accept that VSAE's budget only allows for reimbursement of reasonable travel expenses and meals.

Yes

Comments:

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* 13. Please confirm your understanding of the following stipulations of presenting to VSAE by checking each box below.

Speaking at VSAE meetings and other activities constitutes an agreement by the speaker to VSAE's use and distribution (both now and in the future) of the speaker's image in photographs, promotional material or on our website.

Session slots for the Annual Conference and Expo are determined by VSAE staff. If you have a day or time preference, please mention it below. If you are selected, every effort will be made to accommodate your request.

Day or Time Preference:

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* 14. Please provide any additional information you would like VSAE to consider when evaluating your proposal to speak. Should you have a preference at which event to speak, please include that information here.

Thank you for your interest, please email me letting me know your response is complete.

Should you have any questions about VSAE, please feel free to contact me, Brandon Robinson, Vice President of Professional Development & Communications, at (804) 747-4971 x121.

Virginia Society of Association Executives
10231 Telegraph Road, Suite A
Glen Allen, VA 23059-4561
www.vsae.org