Primary Speaker's Name
First Name
Last Name
Company Name
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Website
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City
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State
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Please Select
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Are you a Member of the NPSA?
*
Yes
No
Phone Number
*
-
Area Code
Phone Number
E-mail
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Confirmation Email
Speaker Bio (less than one page)
*If unable to provide in the box above, please attach in email to info@npsa.org
Session Type
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General Session
Opening Keynote
45-60 min Breakout
Closing Keynote
Would you be an Exhibitor and a Speaker?
*
Yes
No
Are you available for either dates, April 3 or 4, 2023?
Yes
No
Presentation Title and Subtitle
*Catchy titles are good, but be sure they speak to the content.
How would you categorize your presentation? (Leadership, Technology, etc.)
Who is the target audience for your presentation and why?
Have you given this presentation before and/or do you intend to present it elsewhere in the near future? If YES, please list where and when - If NO place N/A in the box.
Session Abstract
*Your session abstract will tell attendees why they should attend your session. To be effective/create interest, it should provide a brief, clear and concise reflection of your presentation's content. The abstract should only be one paragraph and between 150-250 words. If unable to provide in the box above, please attach in email to info@npsa.org
Objectives. As a result of your presentation, what do you want the audience to think, do and/or feel? List 2-3 intended outcomes or learning objectives for your presentation
Problems you are helping the audience solve
Why is this topic important to this audience?
Previous Speaking Reference #1
Previous Speaking Reference #2
Previous Speaking Reference #3
Do you have any sample recordings or videos of previous speaking engagements?
Yes
No
*If yes, please send as an attachment to info@npsa.org
I agree to submit my presentation prior to the Conference
*
Yes
No
I understand that my presentation will be available on the NPSA website for Members to download
*
Yes
No
I have verified that all information provided is accurate and complete
*
Yes
Please submit this application form along with any additional information to info@npsa.org.
Submit Your Speaker Application
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