Request for Monthly Presentation

Request for Monthly Presentation
Only COSA member organizations are eligible to present, except in rare circumstances when approved by the Executive Board. Organizations are limited to presenting once every two years to ensure that all member agencies have the opportunity to share. Once the request has been received, the Program Committee Chair will notify you of your scheduled presentation date. You are welcome to indicate a month preference for presenting; but there is no guarantee that a specific request can be honored.

Members are always able to share announcments, flyers, etc. on COSA social media by tagging @COSASLC or by sharing to the listserve@COSASLC.org.
Agency Information
Agency Name
Name of person submitting request

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Office Phone Number
Please enter a valid phone number.
Other Phone Number
Please enter a valid phone number.
Fax
Please enter a valid phone number.
Website
example@example.com
Presentation details

Provide additional information below to allow for the accurate promotion of the presentation.
Presenter Name

First NameLast Name
Other Presenter Name, if appropriate.

First NameLast Name
Title
Email
Office Phone
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Any special audio-visual needs?
Please provide details here so we can accommodate if possible.
Topic & Brief Description (please include additional names of presenters and any details that can be used in the promotion of the presentation).
Presentations should be no more than 15 minutes in length, including question and answer period. Handouts are recommended for inperson meetings.

Be certain to email the presentation to program@cosaslc.org at least one week prior to your scheduled presentation date.

COSA | PO Box 2356, Fort Pierce, FL 34954 | www.cosaslc.org | info@cosaslc.org
You are welcome to upload files here (e.g., high-quality logo version, prepared marketing materials)

Cancelof
Date

MonthDayYear
Date
Should be Empty:

Request for Monthly Presentation

Agency Information

Presentation details