Presenter Application for 2023 All Texas Retreat

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Presenter Application for 2023 All Texas Retreat and Conference

Event Dates: March 23 - 26, 2023
Location: T Bar M, 2549 State Hwy 46 W,
New Braunfels, TX 78132

RFP Coordinator: retreat@texascoachescoalition.org
Once selected, presenters are required to register for the retreat and provide their own lodging
Please complete this form in its entirety to be considered as a possible presenter for the All Texas Retreat and Conference.
Name *

First Name Last Name
Email *
example@example.com
Phone number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Organization
Website
LinkedIn
What is your highest level ICF Credential?
Date of Next Renewal. Use the calendar icon to enter correct date

Month Day Year
ICF Credentials are required for lead presenter, but not for co-presenter.
What title do you suggest for your presentation? *
Please provide a short description of your presentation (up to 150 words).

0/150
Please provide 3-5 primary learning outcomes.
Which Core Competency(ies) do you THINK your presentation may cover for CCEU credit? (Choose all that apply.)
Please provide a high-resolution headshot to utilize in the retreat and conference promotional materials (Maximum upload 100mb)
Please provide a short bio for promotional materials (up to 150 words).

0/500
If available, please provide a link(s) to examples of your previous presentations or other media.
Are you interested in learning about sponsorship opportunities? We have a wide variety of great options.

Yes No Maybe
Anything you wish to add?
I understand that if selected, my presentation is for educational purposes only and not business promotion.

Yes
Recording Consent - Check Box and Confirm Below *

Without expectation of compensation or other remuneration, now or in the future, I hereby give my consent to Texas Coaches Coalition, and its affiliates and agents, to record me and/or record my voice. I give permission to use quotes, video clips, or recordings of my voice, in part or in whole, in its publications whether in print or multimedia (including social media and internet) for educational and awareness purposes.
Signature *
Your Consent to Recording Signature
Today's Date

Month Day Year
Date
Should be Empty:

Presenter Application for 2023 All Texas Retreat and Conference