Speaker Proposal Application
Please complete the form below. Items with a red asterisk are required.
Speaker Information
Full Name
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First Name
Last Name
Email Address
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Phone Number
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Area Code
Phone Number
URL to Website or LinkedIn
I am an...
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ATD Central Indiana Chapter Member
ATD National Member
ATD Chapter Member (not ATD-CIC)
SHRM National Member
SHRM Indiana Member
Not a member of either.
Presentation Information
Please tell us about your proposed presentation and topic below.
I am applying to (select all that apply).
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Speak at an ATD Central IN monthly meeting, in person or virtually, aligned to the ATD Capability Model
Facilitate a workshop, in person or virtually, on a topic related to talent development, organizational development, or personal development
Present a program for a breakout session at the ATD CIC Learning Summit, in person, Nov. 7, 2025
Presentation Title
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Short description, 2-3 sentences capturing key content and concepts
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Response limited to 500 characters.
Learning and/or Performance Objectives
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Include 3-5 key outcomes related to acquiring knowledge or changing performance
Select the appropriate audience for your presentation.
Entry-level
Experienced
Executive
All of the above
Other
Please describe how your content will be tailored to a diverse audience of talent development professionals.
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Alignment with ATD Capability Model
Access the capability model at this URL to align your presentation topic. https://www.td.org/capability-model/access
Select the primary capability of the Talent Development Capability Model with which this presentation best aligns.
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Building Personal Capability
Developing Professional Capability
Impacting Organizational Capability
Describe how this presentation aligns with the sub-capabilities of the primary capability you selected above.
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Include up to five.
Additional Information
Have you presented this topic before?
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If yes, please explain
Please provide links where we can watch you present , if you have them (does not have to be this topic).
Please provide the names and contact information of 2-3 references who can speak to your experience and effectiveness as a speaker. Include their relationship to you and any relevant details.
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Any additional information you'd like to share.
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If you have additional files you'd like to share (bio, course outline, etc) upload those here.
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