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Speaker Registration
Name of Event : 90th IPMA-HR Eastern Region Training Forum 2018
Start Date : June 17, 2018
EndDate : June 20, 2018
Submission Deadline : November 04, 2017

First Name*:
Last Name*:
Email*:
Salutation:
Designation:

Other, please specify:
Job Title:
Company/Organization:
Street Address*:
City*:
State*:
Zip*:
Country:
Phone (e.g. 5554441212)*:
Alternate Phone (e.g. 5554441212):
Biographical Sketch (max. 1500 characters)*:
Have you made presentation at other IPMA-HR events?:
If yes, please specify:
Will you have a Co-Presenter?:
 If yes, please complete the information for the Co-Presenter below, otherwise move to the next section.
Co-Presenter First Name:
Co-Presenter Last Name:
Co-Presenter Email:
Co-Presenter Salutation:
Co-Presenter Designation:

If Other, please specify:
Co-Presenter Job Title:
Co-Presenter Organization:
Co-Presenter Street Address:
Co-Presenter City:
Co-Presenter State:
Co-Presenter Zip:
Co-Presenter Country:
Co-Presenter Phone (eg. 5553331212):
Co-Presenter Biographical Sketch (max 1500 char.):
 Program Information
Title of Session*:
Summary of Session (max 1000 char.)*:
Primary Learning Objective (max 200 char.)*:
Type of Presentation*:
Will you be submitting a proof of past performance?*:
If Yes, are you submitting*:
If attaching- insert pdf, .ppt, .jpeg,.doc (MAX. FILE SIZE 1 MB):
If online, please provide the URL:
 

SUBMITTING YOUR PROPOSAL BY MAIL

Please send any audio/video, tapes/files, or any other proof of performance that you would like to submit along with the application, to the 
Conference Program Chair:

Sandy Loether
202 Baden Street
Silver Spring, MD 20901

2018ipmahrproposals@gmail.com

All submissions must be received on or before November 3, 2017.

 Terms and Agreements
*
 

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