Exit this survey Nonprofit Connect Presenter Interest Form 2014 - 2018 1. Thank you for your interest in presenting a program for Nonprofit Connect!Please fill out the following form with specific details on your proposed program, and staff will follow up with you if we have an opening for your program.When considering presenters for programs, preference is given to paid Nonprofit Connect members. To learn more about membership, please visit www.npconnect.org/Membership. Question Title * 1. Primary Speaker Information First Name: * Last Name: * Organization/Company: Business Address: * City: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Email Address: * Phone Number: * Question Title * 2. Primary Area of Workshop Focus: Board Development Event Planning Fund Development Grant Writing Human Resources Marketing/Communications Nonprofit Finance Management Nonprofit Operations/Administration Social Media Strategic Planning Technology Volunteer Management Question Title * 3. Program Promotional Text Program Title: Program Description: (1-3 sentences, describing the primary goal of your presentation) Program Take-Aways: (list 2-3) Question Title * 4. Program Description in detail. In 150 words or less, provide a summary of the content. If you are selected to present, the description submitted will be used for promotion on the website. Please Note: Nonprofit Connect reserves the right to modify your title/description for program clarity. Question Title * 5. Have you presented this specific program for other organizations or at a conference? If yes, please list when and where. Question Title * 6. Please list the URL to a video of this (or any other) presentation you have made (if available). Question Title * 7. Do you have a book for sale on program or other related topic? Yes No If Yes, please list title and publisher. Question Title * 8. Please list any social media links (Facebook, Twitter, Linked In, Blogs, YouTube, etc.) that, if chosen to present, could be posted and shared with attendees. Question Title * 9. Please list two references who have seen you present this or any other program/workshop. Include name, organization, email and phone number. Done