CWA Speaker Proposals

Speaker/Session Proposal Application

The California WIC Association offers many educational opportunities throughout the year. CWA offers continuing education units for Registered Dietitians, International Board Certified Lactation Consultants (IBCLC/CLC/CLE), and Contact Hours for Registered Nurses. If you have questions, please email Jenniffer Duran-West at jduranwest@calwic.org.
Please provide the following information for your session proposal(s). You may submit this application for additional co-presenters, and if there is a panel of speakers, please note that in your session abstract.

Our trainings focuses on the following topic areas. Please let us know which topic area your session proposal falls under, and feel free to choose more than one area if applicable.

Early Childhood & Perinatal Development & Nutrition; Health Equity & Birthing Justice; Breastfeeding & Human Lactation; Leadership & Workforce Development; Worksite Wellness

Speaker compensation and benefits:

We are a small non-profit and typically pay speaker fees ranging from $0 to $1,500 for 60-90-min sessions based on experience and expertise. We do our best to honor your time and value your expertise while also working within our means.

Please note that we do not accept proposals for speakers that formula companies sponsor.

Applicants will be notified of acceptance on a rolling basis, as we will both be accepting speaker proposals while simultaneously doing speaker outreach.
Agency/Organization Name Where Applicable. If not applicable place a N/A in the box.*
Primary Speaker's Name as you would have it listed on your speaker profile. *

First NameLast NameAccredidations
E-mail*

Confirmation Email
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Your Web Site
Session Details

Below please choose your session type and topic. Please check all that apply.
Title of Your Session:*
Session Type*

Plenary or KeynotePanel PresentationWebinarWellness SessionWorkshop SessionOther
Topic Area (choose one or more areas referred to above, that best fit your proposal)*

Early Childhood & Perinatal Development & NutritionHealth Equity & Birthing JusticeBreastfeeding & Human LactationLeadership & Workforce DevelopmentWorksite WellnessOther
Abstract: Your session abstract will tell conference registrants why they should attend your session. To be effective and create interest, it should provide a brief, clear, and concise reflection of your presentation’s content. The abstract should only be one paragraph of between 150 to 250 words in length.*
Outline 3 Measurable Learning Objectives

The following 3 objectives will explain what attendees will know and/or be able to do after your presentation.
Objectives (list 3)*
If you are new to CWA, please provide a link to you speaking portfolio or a previously recorded presentation. If you have presented at a CWA conference before, please let us know and feel free to list that below. Our planning committee uses links and past affiliations with CWA conferences when building our curriculum. If you require a speaking fee, we will need to see an example of your past work.*
Bio for Speaker # 1*
Please upload a copy of speaker 1's CV or Resume*

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Bio for Speaker # 2
Please upload a copy of speaker 2's CV or Resume

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Bio for Speaker # 3
Please upload a copy of speaker 3's CV or Resume

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Please check the following:*
Please enter your speaking fee below. If you have more than one speaker, please enter the fee for each speaker like this example: $400/speaker. If you do not require a speaking fee type in N/A.*
Speaker Disclosure/Conflict of Interest Declaration
It is the policy of the California WIC Association to make best efforts to insure balance, independence, objectivity, and scientific rigor in all programs which qualify for continuing education units.

Consequently, all persons participating in any program for which continuing education units are awarded are expected to disclose to the program audience any real or apparent affiliations that may have a bearing in the subject matter of their presentation. Any relevant information provided on the Declaration will be disclosed to the program audience in written conference materials. Such affiliations include, but are not limited to:
- manufacturers of food, food ingredients, food supplements, vitamins, herbs
- restaurant or fast food companies
- manufacturers of infant artificial feeding products
- pharmaceutical companies
- manufacturers or marketers of biomedical devices, including any devices intended to be used during breastfeeding/lactation or for weight control
- any other persons or entities related to the subject matter of the presentation topic or the general topics of the program as a whole
The intent of this policy is not to prevent a speaker from making a presentation. It is merely intended that any potential conflict of interest shall be identified openly so that listeners may form their own judgments about the presentation with the full disclosure of pertinent facts. It remains for the audience to determine whether the speaker’s outside interests may reflect a possible bias in either the exposition or the conclusions presented.
By submitting this form, you are declaring that:*

I have no actual or potential declarations in relation to this program.I have an affiliation with one or more persons or entities that could be perceived as having a bearing on my presentation.
If you have an affiliation, please enter the relationship and organization(s):
Should be Empty:

Speaker/Session Proposal Application

Speaker Disclosure/Conflict of Interest Declaration