Session Submission Form
Contact Person / Submitter Information
Required items noted in red
First Name (Required) |
Last Name (Required) |
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Title | Company/ Organization |
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Work Phone | Home or Cell Phone | Email (Required) |
Proposal Information
Program Title (Required) | |
Format (Required) |
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Choose a Relevant Theme (if exists) | |
Other: You may suggest a theme here |
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Skill Level of Presentation |
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Description (Required) | |||||
Learning Objectives (Four Required) – What Will the Attendee Come out of the Program Knowing? |
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1. | |||||
2. |
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3. | |||||
4. | |||||
5. | |||||
6. |
Session Leader / Moderator (if different from the contact / submitter listed above)
Name | Title | ||||
Company | Website | ||||
Work Phone | Home or Mobile Phone |
Speaker #1 (Suggested for all session proposals – may be same as submitter)
Name | Title | ||||
Company | Website | ||||
Work Phone | Home or Mobile Phone |
Speaker #2 (Not required for single session/webinar proposals; recommended for all others)
Name | Title | ||||
Company | Website | ||||
Work Phone | Home or Mobile Phone |
Speaker #3 (Recommended for Workshops or Mobile Workshops)
Name | Title | ||||
Company | Website | ||||
Work Phone | Home or Mobile Phone |
Name | Title | ||||
Company | Website | ||||
Work Phone | Home or Mobile Phone |
Additional Speakers (Not Recommended for Single Sessions – Optional for all others)
List All Names (separated by commas) |
CONFIRMATION
In submitting this form, the contact/submitter confirms any proposed speakers listed are aware that you are listing them. The next conference is tentatively scheduled for April 2017 in Pasadena, California. Speakers for the conference receive registration for the date they speak and a steeply discounted full conference registration fee $75.
Please note that the California Preservation Foundation reserves the right to select and/or combine sessions where they are duplicative or will allow for a presentation that is in keeping with CPF objectives and priorities.
I confirm that any speakers listed above are aware that they are being proposed as speakers. |
Please send me more information about serving on the CPF Programs Committee. |