APAC Speaker Form

CAS Training Speaker Form

Please fill out this form as completely as possible. This information will be used to complete information on our training website, and create collateral used to promote our events.
Full Name:

PrefixFirst NameLast Name
Credentials:
Email:
example@example.com
Preferred contact phone number for the day of the event

Area CodePhone Number
Speaker Photo (500 or more pixels wide) Please submit a clear headshot that is not grainy or blurry.

Upload a File

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Professional bio as it pertains to your topic. (Needs to be around 150 words and written in 3rd person):
Links to other speaker-related info:
Links to publications, SSRN page, etc:
Title of presentation:
Description of talk:
Training Objectives:
Will you share handouts for this presentation? (Handouts will be made available electronically to participants)
Do you need Mac compatibility?
Honorarium or Payment?
Handouts:

Upload a File

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We have permission to circulate this paper:
Date/Time if prescheduled:

MonthDayYearHourMinutesAM/PM Option
Location:
Venue Name if Known
Speaker Interest:
Please Click Here to Review and Complete Children's Aid Society of Alabama's Media Release.
Please indicate your understanding of photo and video use.
Should be Empty:

CAS Training Speaker Form