· Web viewACCA Speaker Proposal Form | 12.16.19 | Page 1 of 2 Speaker Proposal Form Please...
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Speaker Proposal Form Please complete the entire form and submit to [email protected] along with a video or link to a video with a sample of you speaking. If you do not have a video sample, please record one for your application. A proposal form without a video sample will not be considered. All fields are required. Any fields left blank may lead to your proposal not being considered. If the field is not applicable, simply indicate N/A. SPEAKER INFORMATION First and Last Name Employer/Company Name Current Role/Title Company Address City State Zip Code Phon e Email Cell Preferred contact time ONLINE PRESENCE Website Instagram LinkedIn URL Blog/Vlog URL YouTube Channel Podcast Facebook Page Other ACCA Speaker Proposal Form | 12.16.19 | Page 1 of 3
Transcript of · Web viewACCA Speaker Proposal Form | 12.16.19 | Page 1 of 2 Speaker Proposal Form Please...
Speaker Proposal FormPlease complete the entire form and submit to [email protected] along with a video or link to a video with a sample of you speaking. If you do not have a video sample, please record one for your application. A proposal form without a video sample will not be considered.All fields are required. Any fields left blank may lead to your proposal not being considered. If the field is not applicable, simply indicate N/A.
SPEAKER INFORMATIONFirst and Last NameEmployer/Company NameCurrent Role/TitleCompany AddressCity State Zip
CodePhone Email
Cell Preferred contact time
ONLINE PRESENCEWebsite Instagram LinkedIn URL Blog/Vlog
URLYouTube Channel PodcastFacebook Page Other
SPEAKER PROFILEProfessional CredentialsAreas of ExpertiseSpeaking Experience List conference/event, year, and topic
delivered
ACCA Speaker Proposal Form | 12.16.19 | Page 1 of 2
Keynote SpeakerKey Workshop PresenterEXPO Floor PresenterPanelSpecial Interest GroupTechnology / Demo LabOther
TOPICS YOU’D LIKE TO PRESENT TO ACCA MEMBERSList the topics you’d be interested in presenting identifying what benefits/impact it would have for our Membership-base.
Network & Development Lunch
Topic Description/Benefit/Impact
Annual Fall Symposium/XPO
Topic Description/Benefit/Impact
ACCA Speaker Proposal Form | 12.16.19 | Page 2 of 2
