Call for Presentations Application

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Session Information

Session Title required

Session Description (max. 150 words) required

Takeaways/Action Items (three to five)

Target Audience required

Program Format required

If providing handouts, please describe:

If this topic/presentation has been presented previously, please indicate when, where, and provide evaluation scores/references.

A/V Requirements (video, audio, microphone, etc.)

Speaker Information

Speaker Name required

Company Affiliation

Title

Street Address

City/State/Zip

Preferred Telephone

Email required

Twitter

Facebook

LinkedIn

Speaker Bio (100 – 150 words max) required

Past Speaking Experience

Speaker Headshot (2 MB max. file size; .jpg, .jpeg, .gif, or .png)

Link to online video of a previous presentation (if available)

Speaking References (one to two); Name, Organization, Title, Phone Number, Email required

If you are an SMPS member, please provide the following:

Member Number

SMPS Chapter

CPSM
Fellow

** IMPORTANT NOTICE **
By submitting this application, you are granting the SMPS SRC Programs Committee permission to use speaker photos,
bios, social media, and presentation materials in promotional activity prior to, during, and after SMPS SRC 2019.

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