Skip to content
General Interest - Speaker Proposal Form
Primary Speaker's Contact Information
1.
First Name:
2.
Last Name:
3.
Title:
4.
Company/Organization Name:
5.
Daytime Phone Number:
6.
Cell Phone Number:
7.
E-mail Address:
8.
I am a:
HR Practitioner
Vendor/Resource Partner
Consultant
9.
Biography (brief)
10.
I would like to be considered for (select all that apply):
Spring Conference - Keynote Speaker
Spring Conference - Session Speaker
Legislative Conference - Session Speaker
Educational Program (Before a Networking Event)
Monthly Membership Meeting (live via Zoom w/recording) – Professional Development
Monthly Membership Meeting (live via Zoom w/recording) – Personal Development
11.
Speaker Honorarium
Compensation is required
Compensation is optional
Compensation not needed/No compensation accepted
Other (please specify)
