Presentation Proposal (form)

* Name (as you wish to see it published)

* Certifications (GPHR, PHR, SPHR)

* Title

* Company

* Street Address

* City

* State

Zip Code

Website

* Phone Number

FAX Number

* E-mail Address

* Title of Session

* Summary of Session: (In 75 words or less, provide a summary of the content. Please include the statement “An attendee will learn . . .” as part of the summary.)

* Workplace Application: (Please provide a one sentence primary workplace application of your presentation.)

By submitting this proposal, I agree that my conference presentation is not a showcase for promotion of my business, practice or product, and I will not sell my products or services from the speaker platform. I also understand that I will not receive an honorarium for this presentation.

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