SSP Speaker Volunteer Form

If you are interested in speaking at a meeting, seminar or conference, please complete this form. This form will be sent to both the Education and Program Committee Chairs.

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* 1. Please indicate below which meeting(s) you are interested in speaking at:

Annual Meeting Pre- Meeting Seminars

Annual Meeting

Regional Events

Fall Seminar Series

Focus Group

Webinar

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* 2. Fields marked with * are required.

Name:

Affiliation (Company or Business name):

Email Address:

Phone Number:

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* 3. What is your specialty or area of interest?

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* 4. Have you spoken in front of audience before?

Yes

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* 5. Have you spoken at an SSP Conference before?

Yes

SSP Speaker Volunteer Form

Question Title

* 1. Please indicate below which meeting(s) you are interested in speaking at:

Question Title

* 2. Fields marked with * are required.

Question Title

* 3. What is your specialty or area of interest?

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* 4. Have you spoken in front of audience before?

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* 5. Have you spoken at an SSP Conference before?

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* 6. Where have you spoken before?

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* 7. Please provide a short biography:

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* 8. Please provide speaking references:

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* 9. What would you expect for compensation?