Speaker Application
Interested in presenting for NASW-DE? Simply complete this interest form and a member of our team will be in touch to schedule some time to speak to you about your proposal. Please send one proposal per application. If you have another presentation idea please submit a separate application.
Presenter Information
Name (including credentials)
*
First Name
Last Name
Preferred pronouns?
*
Title
*
Organization/Company/School?
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Brief Biography
*
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Chapter History
Are you an NASW Member?
*
Yes
No
Have you presented for NASW-DE before?
*
Yes
No
Please specify which event(s)?
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Presentation Infomation
Don't have all the details figured out yet? No worries! We'll figure out the details in our follow up with you.
What is your current level of experience with public speaking/presenting?
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Beginner
Intermediate
Advanced
Presentation Type (you can visit https://naswde.socialworkers.org/Events to see more about our Common Event Types)
Virtual Continuing Education (CEs)
Virtual Community Conversation
Virtual Self-Care Event
Student Event
In-Person Event (CE, community conversation, self-care, student, other)
Certificate Program
Not Sure
Other
How much time do you think you need to present?
1 hour
1.5 hours
2 hours
3 hours
Not Sure
Other
Please provide 3 dates & times that would work best for you to present? (You can view our current events calendar here: https://naswde.socialworkers.org/Events)
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Event Title
*
Event Description
*
Event Objectives (please list 3-5 learning objectives)
*
Why are you interested in presenting for NASW Delaware?
*
Upload your resume (PDF please!)
*
Browse Files
Drag and drop files here
Choose a file
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Commitment to Diversity
The following questions help our chapter ensure our presenters are as diverse as our members. Note that these questions are completely voluntary, and won't be used as part of our vetting process.
Gender (select all that apply)
Male
Female
Non-binary/non-conforming
Prefer not to respond
Ethnicity (select all that apply)
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Prefer not to respond
Highest Social Work Degree Obtained
BSW
MSW
PhD/DSW
I do not possess a social work degree
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Schedule Time with Chapter Staff
When are you available best to speak with chapter staff regarding your proposal? (select all that apply)
*
Mondays (morning)
Mondays (afternoon)
Tuesdays (morning)
Tuesdays (afternoon)
Wednesdays (morning)
Wednesdays (afternoon)
Thursdays (morning)
Thursdays (afternoon)
Fridays (morning)
Fridays (afternoon)
Other
Any additional comments/concerns?
How did you hear about this speaking opportunity (select all that apply)?
*
Chapter Staff
NASW-DE Website
Facebook
Instagram
LinkedIn
NASW-DE Email/Newsletter
Word of Mouth
Other
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