Welcome

Thank you for your interest in speaking to the membership of SuncoastHR. We truly appreciate your willingness to share your expertise in this way. In order to ensure that we provide the best possible value to our membership, we require each speaker to complete this form and go through a vetting process by our executive board. If you have any questions about this process, you can contact our Programs Director at programs@suncoasthr.org and they will be glad to assist you. 

Again, thank you for your cooperation in this process. 

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* 1. First Name

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* 2. Last Name

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* 3. Professional Designations or Certifications

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* 4. Email Address

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* 5. Secondary Email Address (optional)

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* 6. LinkedIn Profile Link

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* 7. Twitter Handle

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* 8. Website Address

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* 9. Professional Title

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* 10. Organization

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* 11. Address Line 1

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* 12. Address Line 2

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* 13. City

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* 14. State

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* 15. Zip/Postal Code

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* 16. Work Phone

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* 17. Cell Phone

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* 18. Will you have a co-presenter at your session?

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* 19. Co-presenter Name

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* 20. Co-presenter Email Address

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* 21. Co-presenter Title

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* 22. Co-presenter Organization

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* 23. Co-presenter Address Line 1

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* 24. Co-presenter Address Line 2

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* 25. Co-presenter City

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* 26. Co-presenter State

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* 27. Co-presenter Zip/Postal Code

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* 28. Co-presenter Work Phone

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* 29. Co-presenter Cell Phone

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* 30. Please provide a brief biography of the speaker(s)

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* 31. Title of the Presentation

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* 32. Please provide a brief description of the presentation

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* 33. Please list learning objectives for your presentation (minimum of 3)

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* 34. Functional area of your presentation (Choose 1)

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* 35. Attendee level of knowledge

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* 36. Is this presentation for a monthly meeting (1 hour)?

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* 37. Has this presentation been previously certified for credit through HRCI and/or SHRM?

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* 38. Have you conducted this or a similar presentation for any of the following?

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* 39. If you have given this or similar presentation in the Tampa Bay area, please indicate groups name(s) and date(s)

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* 40. Do you have any upcoming events within the Tampa Bay area in which a representative of SuncoastHR could come and observe? 

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* 41. Do you have a video clip of a prior presentation? (If you do not have a video clip, you will be asked to provide at least two references from attendees of previous events at which you have presented)

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* 42. Dates that you are available to speak (SuncoastHR monthly meetings are held on the 2nd Wednesday of each month with the exception of April and December)

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