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1. For individuals interesting is presenting at CLA sponsored events

Thank you for expressing an interest in being part of the CLA Speakers Bureau. All data collected will be kept confidential. When requests are received, the office will use the information collected to provide a list of potential speakers to our conference and event organizers.

Please keep in mind that submitting does not guarantee speaking opportunities with the CLA. It will however help increase our pool of qualified and diverse speakers to contribute at our professional development functions.

If you are interested, please take a few minutes to complete the information form below.

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* 1. Please provide your first and last name:

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* 2. Please provide your daytime phone number:

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* 3. Please provide your email:

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* 4. Please indicate your firm/organization you are employed with:

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* 5. What city (town), province/state and country are you PRIMARILY located in:

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* 6. Please list any languages you speak fluently in:

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* 7. Areas of special interest you are able to present on: (check all that apply)

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