* Required Fields
Is the person submitting this form the presenter?*
- select -yesno
Presenter First Name*
Presenter Last Name*
Credentials (Designations)
Person submitting the information (if different from speaker)
Email*
Phone*
Website*
(If no website, put N/A)
Company
Title
Contact Mailing Address*
City*
State*
Zip/Postal Code*
Country/Nation
Typical Speaking Fee for a 1-hour Session*
- select -Under $4K$5K - 9K$10K - 14K$20K and over
Session Title*
Session Description*
Session Learner Outcomes*
Please provide 3 attendee learner outcomes from attending the session.
1)
2)
3)
Length of Session*
- select -45 minutes60 minutes
Preferred Delivery Methods: IAEE uses various forms for delivering content to our members. Please indicate all methods that you would consider for presenting by checking the boxes that apply.*
Live Webinar (Zoom, Go to Webinar, etc.)Pre-recorded Webinar
Type of Session*
- select -Solo PresentationCo-Presenter PresentationPanel Presentation
AV Required
Bio*
Picture*
Speaker Introduction (max 255 characters)*