Diversity in the Workplace - Leading Association for Diversity Conferences and Collaboration

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Presenter Proposal Form

Instructions

Please complete all information in the online form below. Proposals were due November 18, 2005. Proposals submitted through this form after November 18 cannot be considered unless you have received prior athorization. Click here for a form to fax or mail.
Your application is not complete until we receive supporting materials that demonstrate performance. Examples include: audio/video tapes/DVD presentations and program evaluations from other events. Articles, books or letters of recommendation are not acceptable proof of performance. Materials cannot be returned but will be added if suitable to the WDN Resource Center.

All information is required except co-presenter info if not applicable.

Name

Please enter as you wish to see it published.

Professional Designation

If you selected other, please indicate:

Title

If you selected other, please indicate:

Company

Address

Phone Number

Fax Number

E-mail Address

Web Site Address

Will you have a co-presenter? Yes No
Please note: the WDN does NOT reimburse co-presenter expenses.

Co-Presenter Information:

Name

Title

Company

Address

Phone Number

Fax Number

E-mail Address

Web Site Address

TITLE OF SESSION

SUMMARY OF SESSION
In 75 words or less, provide a summary of the content. Please note that we may edit your session title/description for program clarity in promotional brochures.

Briefly describe the learning objectives of your session:

Check the box that best describes the process and style you will use to deliver your session:

	Hear It!- primarily lecture and visuals with some audience interaction.
	Feel It! - very participatory and experiential through the use of activities and exercises.
	Live It! - fully engages the audience through theater-based techniques, dialogue, storytelling, etc.

Check the theme your session addresses:

	Business Case/ Strategies/Metrics
	Cultural Competence
	Creating Inclusive Cultures/Organizations
	Recruitment/Development/Retention
	Current Trends
	Leadership Role & Competencies

Please provide a biographical sketch (75 words or less):

Name, organization, phone number and e-mail of 3 references who can attest to the quality of your previous presentations:

Name

Organization

Phone

E-mail

Name

Organization

Phone

E-mail

Name

Organization

Phone

E-mail

If selected, I agree to adhere to the deadline schedule furnished by conference organizers. If I have a co-presenter, he/she will not have his or her expenses reimbursed. I understand that my conference presentation is not a showcase for promotion of my business, practice or product, and I will not "sell" my products or services from the WDN speaker platform. I also understand that the media may be present during my session.

I accept I do not accept

Diversity 2006 Sponsors

Principal Sponsor

Leadership Sponsors

Supporting Sponsors

Partners

Non-Profit