Safety+ 2023 Call for Workshops Question Title * Logistics Contact Full Name (If different from speaker) Question Title * Logistics Contact Email (If different from speaker) Question Title * Speaker Email Question Title * Speaker First Name Question Title * Speaker Last Name Question Title * Speaker Title Question Title * Speaker Company Question Title * Speaker Address Address * Address 2 City/Town * State/Province * ZIP/Postal Code * Question Title * Speaker Phone Question Title * Are you a VPPPA Member? Yes No Question Title * If you answered yes, please provide your Member ID Question Title * Speaker Bio (No more than 100 words) Question Title * Session Title Question Title * Session Description/ Elevator Pitch (No more than 250 words) Question Title * Please list 3-5 Learning Objectives for this session Question Title * Please list 3-5 Attendee Takeaways for this session Question Title * What questions would you expect attendees to ask during this session? Question Title * Session Track Management, Leadership & Employee Involvement Worksite Analysis Hazard Prevention & Control Safety & Health Training Other (please specify) Question Title * Room Arrangement Preference Classroom Panel Roundtable Other (please specify) Question Title * Does VPPPA have permission to record your session? Yes No Question Title * Are you willing to present on multiple days? Yes No Question Title * Have you previously presented at Safety+? Yes No Question Title * What non-VPPPA events have you presented at? Question Title * Do you or your company plan to exhibit at Safety+ this year? Yes No Question Title * Do you have a co-presenter? Yes No Next
