Speaker Application for IIA Southern California Education Conference
June 3, 2013 • Sharaton Anaheim Hotel • Wrd4ec.org
** Directions: Please include as much detail as possible in this application. Once we receive all speaker applications we will review them and make the selection. Confirmation will be sent after all applications are reviewed. For any question please contact Jason James: Jason.james@regentsandpark.com

* 1. Please provide the following information:

* 2. Please provide your contact information:

* 3. Please provide speaker bio.

* 4. Please select the topic you propose to speak about

* 5. Provide your title for your proposed presentation

* 6. Provide 3 objectives for your proposed presentation

* 7. List speaking events you have participated

* 8. Are you a member of IIA?