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Confirmed Speaker / Special Event Form

Please submit this form using either Google Chrome or Firefox until further notice. If you are completeing this form for a Networking or multiple speaker event, some of the information requested may not be applicable. Please type N/A into any field that requires a response but is not applicable to the event information.

Event Information

Location details If this is a workshop/irregular luncheon or networking event please provide location address, parking details and venue capacity

* Date(s) and time(s) you are confirmed to present Separate multiple dates and times with a comma

* Times to be listed for event. Please indicate how much time is for networking and registration if this is not a MT|SHRM monthly meeting.

Presenter's Information

* Presenters name, title and company name: If multiple speakers are presenting, please separate speaker names with a semi colon.

Professional Designation/Certification:

* Phone: If multiple speakers are presenting, please separate phone numbers with a semi colon.

* Email: If multiple speakers are presenting, please separate emails with a semi colon.

* Presenter's Short Biography Include a short bio you would like used as a speaker introduction - 2000 character limit

Attach Presenter's Head Shot JPG or PNG 480x640 * If there are multiple speakers, please email additional headshots to [email protected]

Presentation Information

* Program Session Title:

* Proposed Session Length

1 hour presentation/webinar
1.5 hour workshop
2 hour workshop

Has this presentation previously been approved for HRCI or SHRM certification credit?

Yes
No
Not sure
N/A

If yes, please indicate HRCI Number and Date Presented

* What type of credit are you seeking for this program?

Conference Grid (for conferences only) If you do not have a Conference grid template, please contact Shannan Duggin to obtain one.

* Brief Presentation Summary: Include at least 3 Learning Objectives - 2000 character limit

* Marketing Statement: A brief paragraph describing what attendees will learn by attending this program - 2000 character limit

SHRM BoCK Representation/Alignment (choose at least one)

* What Competency(s) will be acquired by participation in this program? Check all that apply

Business Acumen
Communication
Consultation
Critical Evalutation
Ethical Practices
Global & Cultural Effectiveness
Leadership & Navigation
Relationship Management

What Functional Area(s) will be represented/acquired by participation in this program?

PEOPLE

Talent Acquisition & Retention
Employee Engagement
Learning & Development
Total Rewards

ORGANIZATION

Structure of the HR Function
Org. Effectiveness & Development
Workforce Management
Employee Relations
Technology & Data

WORKPLACE

HR in the Global Context
Diversity & Inclusion
Risk Management
Corporate Social Responsibility
U.S. Employment Law & Regulations

STRATEGY

Business & HR Strategy

Webinar Link: For webinars provide the link to the web address that attendees click to register for the event

Presenter's Twitter ID

Presenter's LinkedIn ID

Presenter's Facebook ID

Presenter's YouTube URL or other social media

* Will you make your presentation available for our website?

Yes
No
N/A

If you plan to make your presentation available, please email a copy of it 3 days prior to the event to Shannan Duggin at [email protected].

* Email address of person making the submission

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