ASCP Speaker Assistance Request Form
Welcome! We're so excited that you've decided to take the opportunity to explore ways to elevate your presentation skills to increase interactivity, engagement, and attendee knowledge retention. Please complete this form to provide us with some information regarding your presentation if you would like further assistance from ASCP staff to take your presentation to the next level.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
E-mail
example@example.com
Please upload your completed session planning worksheet, if possible
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What interactive elements do you feel would be most applicable for your session? For more information regarding these elements, please review the e-learning course.
Defining what is relevant (Emphasizing Need-to-Know Content; Highlighting Pain Points)
Keeping it Practical (Making it Replicable; Tying in the Team)
Inspiring with Interactivity (Converting Pain Points to Challenges; Pausing for Peer Interaction)
I need help determining this
Which of these would be a benefit to you and/or your presentation?
Suggestions, specific to my content, for incorporating the interactive elements selected above
Tips to maximize the Audience Response System / Polling
PPT Slide Review and Suggestions
Please upload your presentation/PPT, if possible
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Would we be able to (anonymously) utilize your worksheet responses to assist future speakers with interactivity?
Yes
No
What is your preferred method of communication to discuss next steps for your presentation with ASCP staff?
I would like to schedule a one-on-one Zoom session with ASCP Staff
I would like to schedule a phone call with ASCP Staff
I would like discuss my presentation via e-mail
If you chose Zoom or phone call, please indicate your availability in order for ASCP staff to schedule an appointment with you.
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