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* 1. Delivery Method for This Session.
(Select as many as may apply.)

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* 2. Target Audience(s).
(Select as many as may apply.)

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* 3. Title of Presentation

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* 4. Detailed Description of the Topic
(Include why it is timely, relevant, groundbreaking or innovative.)

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* 5. Length of Presentation
(Provide in minutes, or range of minutes.)

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* 6. List Three Key Points to Be Covered.

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* 7. List Three Tangible Benefits and/or Takeaways for Attendees.

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* 8. What Level of Experience is This Intended for?
(Select as many as may apply.)

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* 9. Explain Why People Will Want/Need to Attend This. What Problem Does it Solve?

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* 10. What are the Most Commonly Asked Questions You Receive Related to this Topic/Material?

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* 11. Describe How You Will Keep the Audience Engaged.

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* 12. Describe Activities That Will Take Place
(ie., Small group discussions, worksheets, simulations, demonstrations, etc.)

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* 13. Share Something Humorous/Light-Hearted About the Presentation or Topic.

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* 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?)

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* 15. What Value-Added Options or Tools Can You Provide?
(Select as many as may apply.)

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* 16. List Two Recent Events Where You Have Spoken.
(Provide contact information for a reference.)

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* 17. Speaker Information

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* 18. Speaker Biography

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* 19. Speaker Honorarium Amount

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* 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.)

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