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Central Ohio ATD Speaker Proposal
Thank you for your interest in speaking at our chapter. Please fill out this proposal and our VP of Professional Development will be in touch.
OK
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1.
Contact Info
(Required.)
Name
Title
Company
Company Address
City/Town
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Zip/Postal Code
Email Address
Phone Number
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2.
ATD Membership - Choose all that apply
(Required.)
National
COATD
Other ATD Chapter. Please Indicate ATD chapter
None of the above
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3.
Please select
one area of expertise
:
(Required.)
Gamification/Game-Based Learning
Video-Based Learning
Virtual Reality/Augmented Reality Learning
Micro-Learning
Adaptive Learning
Social Learning
Performance Support Tools
Digital Collaborative Tools
Other (please specify)
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4.
Please Identify the
ATD Capability Model Focus Areas
that your presentation will reinforce.
(Required.)
Building Personal Capability
Developing Professional Capability
Impacting Organizational Capability
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5.
Please provide the name of your session
(Required.)
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6.
Please provide a full description of your presentation topic. (Session length required: 60 minutes)
(Required.)
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7.
List 3-5 clearly stated learning objectives that answer the following:
What will participants learn or be able to do differently as a result of this session?
What new tool/technique, knowledge/theory, or resource/information will participants receive as a result of this session?
How will your presentation support actions participants can take to continue to learn after the session?
(Required.)
Objective 1
Objective 2
Objective 3
Objective 4
Objective 5
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8.
Please provide a short biography that will be used for marketing.
(Required.)
*
9.
Please upload a headshot that will be used for marketing.
(Required.)
Choose File
No file chosen
10.
Please attach any material that may support your proposal, if applicable.
Choose File
No file chosen
11.
Please share a link to a website or previous presentation videos if available.
