Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. COATD: 2022 Learning Technologies and Design Day Request for Proposal (RFP) Thank you for your interest in being a speaker at our Learning Technologies and Design Day Conference. Please complete this RFP by June 30, 2022. OK Question Title * 1. Contact Info Name Title Company Company Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Zip/Postal Code Email Address Phone Number OK Question Title * 2. Do you have a co-facilitator? Yes No (Skip to question 4) OK Question Title * 3. Co-Facilitator Contact Info Name Company Company Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number OK Question Title * 4. ATD Membership - Choose all that apply National COATD Other ATD Chapter. Please Indicate ATD chapter None of the above OK Question Title * 5. Please select one area of expertise: Gamification/Game-Based Learning Video-Based Learning Virtual Reality/Augmented Reality Learning Micro-Learning Adaptive Learning Social Learning Performance Support Tools Digital Collaborative Tools OK Question Title * 6. Please Identify the ATD Capability Model Focus Areas that your presentation will reinforce. Building Personal Capability Developing Professional Capability Impacting Organizational Capability OK Question Title * 7. Availability during the Sept 20, 2022 conference Anytime AM PM OK Question Title * 8. A/V Requirements LCD / Projection Slide Advancer Speakers / Microphone Video Internet Other (please specify) OK Question Title * 9. Please provide a full description of your presentation topic. (Session length required: 60 minutes) OK Question Title * 10. List 3-5 clearly stated learning objectives that answer the following: What will participants learn or be able to do differently as a result of this session? What new tool/technique, knowledge/theory, or resource/information will participants receive as a result of this session? How will your presentation support actions participants can take to continue to learn after the session? Objective 1 Objective 2 Objective 3 Objective 4 Objective 5 OK Question Title * 11. Please provide a short biography that will be used for the conference app. OK Question Title * 12. Please upload a headshot that will be used for the conference app. JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload a headshot that will be used for the conference app. OK Question Title * 13. Co-Facilitator Headshot if applicable. JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Co-Facilitator Headshot if applicable. OK Question Title * 14. Please attach any material that may support your RFP, if applicable. PDF, DOC, DOCX, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please attach any material that may support your RFP, if applicable. OK Question Title * 15. Please share a link to a website or previous presentation videos if available. OK DONE
