2015 Speaking Opportunities

Conference Year:

Presenter Information

First Name:

Last Name:

Certification:

Title:

Organization:

Address:

City:

State:

Zip:

Phone Number:

Alternate Phone:

Fax:

Email:

Website:

Biography:

This will be used to introduce you ath the conference session, if selected.

Is at least 50% of your job duties a direct function of human resources?:

Yes No

Have you had a HR, Leadership or Management related book published in the last 10 years?:

Yes No

My company has been an exhibitor at the conference within the past three years.:

Yes No

My company has been an sponsor at the conference within the past three years.:

Yes No

My company has been an presenter at the conference within the past three years.:

Yes No

________________________________

Correspondence

Please send all correspondence regarding my presentation to:

Presentation Contact First Name:

Presentation Contact Last Name:

Presentation Contact Title:

Presentation Contact Organization Name:

Presentation Contact Address:

Presentation Contact City:

Presentation Contact State:

Presentation Contact Zip Code:

Presentation Contact Phone:

Presentation Contact Email:

________________________________

Reference Information

Please provide a venue and the contact person where you spoke most recently.

Reference Conference Name:

Reference Presentation Date:

MonthDayYear

Reference First Name:

Reference Last Name:

Reference Organziation:

Reference Title:

Reference Phone:

Reference Email:

________________________________

Presentation Information

Use this section to provide us information on your Presentation. Preference will be granted for sessions, which meet the Human Resource Certification Institute’s (HRCI’s) guidelines for business management as well as the SHRM Body of Competency and Knowledge (SHRM BoCK).

Presentation Title:

Presentation Format:

Note; Early bird learning sessions begin at 6:30 AM.

Presentation Track:

Presentation Topic:

Topic Tips

·Leadership & Navigation (e.g. leadership development, change management, project management, high-impact succession management)

·Ethical Practice (e.g., business ethics, professionalism, credibility, trust building)

·Business Acumen (e.g., marketing workshops, finance for non-finance managers, accounting & finance for HR professionals)

·Relationship Management (e.g., advocacy, negotiation & conflict management, employee engagement, customer service)

·Consultation (e.g. coaching, creativity and innovation, talent management)

·Critical Evaluation (e.g., Knowledge management

·Global & Cultural Effectiveness (e.g., diversity & inclusion, openness to experience, adaptability, global initiatives, corporate culture)

·Communication (e.g., social technology & social media, facilitation skills, C-suite communication, upper level business writing)

·Human Resource Expertise (e.g., risk management, HR technology, HR metrics, total rewards)

Ability Level:

HRCI Credits:

Does this session qualify for HRCI Credits?

HRCI Number:

If this presentation has been approved at another conference, please provide the conference name and HRCI number.

Program Overview & Learning Objectives

Insert a 100 to 150 word description focused on the benefits to attendees. It is crucial that your description appropriately describes the content of your presentation to avoid any confusion for participants. Write as you would have it appear in the conference program book, in third person present tense.

Program Overview:

Learning Objective 1:

Learning Objective 2:

Learning Objective 3:

AV Equipment Information

A lavaliere microphone, projector and screen will be provided in every room. Additional AV equipment must be requested by the speaker by September 1.

**We will not provide laptops. Speakers must bring their own.

Additional Equipment:

The Learning session rooms will include an LCD projector, a screen, lavelier microphone, flip chart and markers. Indicate what additional audio-visual support or other instructional materials your session requires. SHRM will make every effort to accommodate any reasonalbe request. NOTE: Laptops are not provided. You must bring your own laptop with your presentation loaded.

Additional Equipment Special Request:

Tell us any other Audio-Visual Request that you had in mind.

I understand that if I am selected to present I am responsible for providing my own laptop for my presentation.:

Yes No

Acceptance of Terms

The conference is a green conference. If you are selected to present at the conference, you will be required to meet the following timelines:

Submit an electronic copy of your presenation by September 1, 2015. We will not be providing copies of the handouts at the conference so it is very important that your handout be provided electronicallly for us to post for attendess.

Yes I Accept Terms:

________________________________

Co-Presenter Add

If you will have co-presenters, please fill out for each co-presenter

Do You have any Co-Presenters:

Do you have a Co-Presenter? If so select Yes.

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