Request to Present at a COSA Meeting

Request for COSA Presentation
Only COSA member organizations are eligible to present, except in rare circumstances when approved by the Executive Board. To ensure that all member agencies have the opportunity to share, organizations are limited to presenting once every two years. 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. at meetings, on COSA social media by tagging @COSASLC, or (once you are on the listserve) by emailing listserve@COSASLC.org.
Agency Information
Do not use Agency Name - it was formatted incorrectly*
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*
To ensure commuication prior to the event.
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 in-person meetings.

Be certain to email the presentation to programs@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, PowerPoint, prepared marketing materials, etc.)

Cancelof
Do not use - Date

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Should be Empty:

Request for COSA Presentation

Agency Information

Presentation details