[yoast-breadcrumb]

Session Submission Form

For all program proposals, including special events, tours, workshops, conference sessions, webinars, or forums. Please fill out this form with as much detail as is possible. 

Contact Person / Submitter Information

 Required items noted in red

First Name
(Required)		 Last Name
(Required)
Title Company/
Organization		  
Work Phone Home or Cell Phone Email
(Required)

Proposal Information

Program Title (Required)

Format (Required)
Choose a Relevant Theme (if exists)
 

Other:  You may suggest a theme here

Skill Level of Presentation


Description (Required)
 
 
Learning Objectives (Four Required) – What Will the Attendee Come out of the Program Knowing?
1.
2.
3.
4.
5.
6.
Speaker Information

Session Leader / Moderator (if different from the contact / submitter listed above)

Name Title
Company Website
Work Phone Home or Mobile
Phone		 Email

Speaker #1 (Suggested for all session proposals – may be same as submitter)

Name Title
Company Website
Work Phone Home or Mobile
Phone		 Email

Speaker #2 (Not required for single session/webinar proposals; recommended for all others)

Name Title
Company Website
Work Phone Home or Mobile
Phone		 Email

Speaker #3 (Recommended for Workshops or Mobile Workshops)

Name Title
Company Website
Work Phone Home or Mobile
Phone		 Email
Speaker #4 (Recommended for day-long Workshops or Mobile Workshops ONLY)

Name Title
Company Website
Work Phone Home or Mobile
Phone		 Email

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.