PMI Northeast Wisconsin Chapter

PMI Northeast Wisconsin - Call for Speakers Submission Form

Section 1: Presenter Information

Name:(*)

Invalid Input

Title

Invalid Input

Company

Invalid Input

Address

Invalid Input

City, State, Zip(*)

Invalid Input

Email(*)

Invalid Input

Phone Number

Invalid Input

PMI Chapter Membership

Invalid Input

PMI Number

Invalid Input

Certifications

Invalid Input

Registered Education Provider

YesNo Invalid Input

Section 2: Presentation Information

Presentation Title(*)

Invalid Input

Describe in one or two words the presentation topic (eg Risk, PMO, Communication etc)

Invalid Input

Presentation Description (Approx 150 words)(*)

Invalid Input

Which category of the Project Management Talent Triangle is presentation aligned?

Technical Project Management

Leadership

Business and Strategic

Invalid Input

List any links to video samples of your presentation

Invalid Input

Which is your presentation better suited for – Select all that could apply

Dinner Meeting (1 Hour Presentation)

Professional Development Day (75 minute presentation)

Professional Development Day (90 minute presentation)

Invalid Input

Learning Objectives (List 3-4 high level objectives; What will participants take away from this presentation?)

Invalid Input

Briefly describe any interactive elements that will be included in the presentation to engage the audience and facilitate learning and collaboration.

Invalid Input

If Yes, when and where

Invalid Input

Has this presentation been given before?

YesNo Invalid Input

Section 3: Presenter Information

Presenter Biography (125‐200 words)

Invalid Input

Previous Presentations (please list any relevant additional presentations given in the past 12 months including title and event where presentation was given)

Invalid Input

Upload Presentation and Professional Photo

Invalid Input

Professional References (Provide Names and Email Addresses for three references who are familiar with your presentation skills - PMI Members if possible)

Name of Reference

Invalid Input

Email of Reference

Invalid Input

Name of Reference

Invalid Input

Email of Reference

Invalid Input

Name of Reference

Invalid Input

Email of Reference

Invalid Input

Section 4: Logistics

Presenter Needs

Invalid Input

Presenter Fees and Expense Requirements(*)

Invalid Input

Submit Form