Speaker RFP | National PLAN Alliance

Presentation Information

Presentation title(Required)

Brief description(Required)

This will be used in the conference materials/agenda (50 words or less)

Audience(Required)

Trust Administrator

Leadership

Human Services

Other

Check all that apply.

Other audience(s)(Required)

Presentation key learning objectives(Required)

How will your presentation encourage participation?(Required)

We require that at least 15 minutes of the session is assigned for interactive activity.

The presentation room will be equipped with a laptop, projector and screen, microphones and speakers. Please let us know any other equipment and/or special accommodations needs.

Would you be willing to do a roundtable on this topic to encourage further discussion?(Required)

Yes

No

Maybe

Due to the high volume of submissions received, you may be selected to facilitate a roundtable even if you are not asked to be a primary speaker.

Provide us with at least 3 questions that you as a facilitator will use to initiate the discussion at your roundtable.(Required)

(These questions will be used in conference materials/agenda)

Please explain how the roundtable discussion will be complementary to the interaction in your presentation.(Required)

Your Information

Name(Required)

First Last

Full credentials

Job title(Required)

Company name(Required)

Email(Required)

Mobile phone(Required)

Work phone(Required)

Mailing address(Required)

Street Address Address Line 2 City State ZIP Code

Provide a short bio to feature in our conference materials.(Required)

Upload headshot(Required)

Accepted file types: jpg, png, pdf, gif, jpeg, Max. file size: 512 MB.

Please make sure your photo is at least 300 pixels wide.

Will you have co-presenters?(Required)

Yes

No

Co-Presenter 1

Name(Required)

First Last

Full credentials

Job title(Required)

Company name(Required)

Email(Required)

Mobile phone(Required)

Work phone(Required)

Mailing address(Required)

Street Address Address Line 2 City State ZIP Code

Provide a short bio to feature in our conference materials.(Required)

Upload headshot(Required)

Accepted file types: jpg, png, pdf, gif, jpeg, Max. file size: 512 MB.

Please make sure your photo is at least 300 pixels wide.

Do you have a second co-presenter?(Required)

Yes

No

Co-Presenter 2

Name(Required)

First Last

Full credentials

Job title(Required)

Company name(Required)

Email(Required)

Mobile phone(Required)

Work phone(Required)

Mailing address(Required)

Street Address Address Line 2 City State ZIP Code

Provide a short bio to feature in our conference materials.(Required)

Upload headshot(Required)

Accepted file types: jpg, png, pdf, gif, jpeg, Max. file size: 512 MB.

Please make sure your photo is at least 300 pixels wide.

Do you have a third co-presenter?(Required)

Yes

No

Co-Presenter 3

Name(Required)

First Last

Full credentials

Job title(Required)

Company name(Required)

Email(Required)

Mobile phone(Required)

Work phone(Required)

Mailing address(Required)

Street Address Address Line 2 City State ZIP Code

Provide a short bio to feature in our conference materials.(Required)

Upload headshot(Required)

Accepted file types: jpg, png, pdf, gif, jpeg, Max. file size: 512 MB.

Please make sure your photo is at least 300 pixels wide.

Call for NPA Conference Speakers

Presentation Information

Your Information

Co-Presenter 1

Co-Presenter 2

Co-Presenter 3