Thank you for your interest in presenting a webinar for CAI! Please fill out as much of this form as possible. Your computer settings may not enable you to save your responses below (leave and come back), so we encourage you to complete the form in one sitting. You can submit more than one topic idea if you like.

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* 1. Today's date is:

Date

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* 2. PRESENTER:

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* 3. TOPIC SUGGESTED TITLE:

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* 4. TOPIC SUGGESTED DESCRIPTION (50-75 words):

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* 5. LEARNER OUTCOMES:
By the end of this webinar, participants will be able to:

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* 6. BASIC OUTLINE OF SESSION POINTS TO BE COVERED:

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* 7. PROGRAM LENGTH
CAI webinars are typically 1 hour in length. Sometimes certain topics or approaches require more or less time. If you believe your program requires a different length, please explain below.

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* 8. Level of Material

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* 9. Audience (Select all that apply)

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* 10. SPEAKING HISTORY
Please share some information about presentations you've done previously for CAI chapters, your company, or other organizations.

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* 11. Please provide a biography (about two paragraphs) for the 1st presenter. If it's more convenient, you can upload your biography in question #12.

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* 12. BIOGRAPHY UPLOAD

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 13. Photo/Headshot

GIF, JPEG, JPG, PNG file types only.
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* 14. 2nd CO-PRESENTER (if applicable):

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* 15. Please provide two-paragraph biography for 2nd presenter. If it's more convenient, you can upload your biography in question #16.

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* 16. BIOGRAPHY UPLOAD

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 17. Photo/Headshot

GIF, PNG, JPG, JPEG file types only.
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* 18. 3rd CO-PRESENTER (if applicable; up to three panel members for 1-hour program):

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* 19. Please provide two-paragraph biography for 3rd presenter. If it's more convenient, you can upload your biography in question #20.

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* 20. BIOGRAPHY UPLOAD

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 21. Photo/Headshot

GIF, JPEG, JPG, PNG file types only.
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* 22. PRESENTER AGREEMENT
If my program is accepted I agree to the following:

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* 23. Additional Material

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 24. I have printed out or saved a copy of this submission for my records, before clicking "Done."

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