Proposal to Speak at MCUL & Affiliates Training Event Question Title * 1. Delivery Method for This Session. (Select as many as may apply.) In-Person Conference/Workshop/School Virtual Conference ("Skyped" Into an In-Person Event) Slide-Based Internet Webinar Question Title * 2. Target Audience(s). (Select as many as may apply.) Executives Board Members Lending Marketing Business Development Compliance/Regulatory HR Trainers Manager/Supervisors Finance/Accounting Technology Legal Sales/Service Other Question Title * 3. Title of Presentation Question Title * 4. Detailed Description of the Topic(Include why it is timely, relevant, groundbreaking or innovative.) Question Title * 5. Length of Presentation(Provide in minutes, or range of minutes.) Question Title * 6. List Three Key Points to Be Covered. Question Title * 7. List Three Tangible Benefits and/or Takeaways for Attendees. Question Title * 8. What Level of Experience is This Intended for?(Select as many as may apply.) Beginner Intermediate Advanced Question Title * 9. Explain Why People Will Want/Need to Attend This. What Problem Does it Solve? Question Title * 10. What are the Most Commonly Asked Questions You Receive Related to this Topic/Material? Question Title * 11. Describe How You Will Keep the Audience Engaged. Question Title * 12. Describe Activities That Will Take Place(ie., Small group discussions, worksheets, simulations, demonstrations, etc.) Question Title * 13. Share Something Humorous/Light-Hearted About the Presentation or Topic. Question Title * 14. Explain What Technologies Will be Infused Into the Session.(ie., Will you share video clips, things for attendees to download or portions of the session they can interact with on their mobile devices?) Question Title * 15. What Value-Added Options or Tools Can You Provide?(Select as many as may apply.) Pre-Work Activities (Research, Reading, Survey) Session Handout Quiz (With Answer Key) Facilitators Guide One 15-minute Coaching Session Per Attendee (e.g. Talk with the Instructor) List of Resources (Website, Blogs, Literature, Subject Matter Experts) Post-Work Activities (Reading, Chat, Survey) Other (please specify) Question Title * 16. List Two Recent Events Where You Have Spoken.(Provide contact information for a reference.) Question Title * 17. Speaker Information Speaker Full Name Speaker Formal Title Speaker Organization Organization Website Speaker Email Confirm Speaker Email Speaker Phone (Direct) Ext Speaker Address Question Title * 18. Speaker Biography Question Title * 19. Speaker Honorarium Amount Question Title * 20. Notification of Proposal Status. If Different Than Speaker Information, Please Complete the Following. (The person that we will contact if we need further information, and to receive e-mail notifications.) Submitting Name Submitting Title Submitting Organization Submitting Email Confirm Submitting Email Submitting Phone (Direct) Ext Relationship to Speaker Done