NHRA Speaker Proposal Application
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1.
First name
(Required.)
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2.
Last name
(Required.)
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3.
Email address
(Required.)
4.
Phone number
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5.
For which affiliate are you interested in speaking?
(Required.)
NHRA Los Angeles
NHRA National
NHRA Orange County
NHRA Rochester
NHRA Silicon Valley
NHRA St. Louis
NHRA Ventura County
NHRA Western New York (Buffalo, Niagara)
Not a member of NHRA
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6.
Is there an affiliate which you are associated with?
(Required.)
NHRA Los Angeles
NHRA National
NHRA Orange County
NHRA Rochester
NHRA Silicon Valley
NHRA St. Louis
NHRA Ventura County
NHRA Western New York (Buffalo, Niagara)
Not a member of NHRA
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7.
Are you willing to travel?
(Required.)
Yes
No
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8.
Presentation title
(Required.)
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9.
Short description of your presentation
(Required.)
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10.
Learning objectives
(Required.)
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11.
Length of presentation
(Required.)
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12.
Have you presented this topic before? If so, please explain.
(Required.)
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13.
Please provide links where we can watch you present (does not need to be this topic) .
(Required.)
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14.
Please share your speaker bio here.
(Required.)
15.
If you have additional information you'd like to share, please include it here.