CALI SPEAKER PROPOSAL FORM
Required fields are marked with an asterisk (*).
Speaker Information
Speaker Name
*
First Name
Last Name
Company or Organization
*
Title
*
E-Mail
*
Work Phone Number
*
Format: (000) 000-0000.
Cell Phone Number
Format: (000) 000-0000.
What is the best way to reach you?
*
Phone
Email
Text
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please upload your Speaker biography.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload a professional headshot.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Proposal Details
Proposed Session Title
*
Target Audience(s)
*
New Investigators
Intermediate
Experienced Investigators
What type of educational event would you like to present at?
*
Breakout Conference Session
Pre-Conference Session
Keynote
Half-Day Training
Full-Day Training
CALI District Event/Mixer
Webinar
Can your presentation be presented virtually?
*
Yes
No, my presentation can only be delivered in-person.
Have you presented at a CALI event before? If yes, please tell us when.
*
No
Yes
Have you recently presented this session/topic to other PI organizations? If yes, please enter their names.
*
No
Yes
Presentation Overview
*
Top Three Takeaways: What attendees will learn from your presentation?
*
If you have a handout or a copy of your presentation (PDF), please upload it.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is there any additional information you'd like to share regarding your speaker proposal?
Submit
Should be Empty: