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