Call for Presenters - 2023 Conference

Presenter Application

Name*

First Name

Last Name

Email*

Confirm Email *

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Phone

Website

Brief Bio*

1000 character limit

Other Supporting Documentation / Proposal (optional):

No File Chosen

File uploads may not work on some mobile devices.

Presentation Details

Presentation Title*

Brief Description of your Presentation*

2500 character maximum

Presentation Type*

Lecture Panel Discussion Breakout Session

Other:

Select all that apply

Have you presented this topic before?*

Yes No

Where?

What specific Audio/Video requirements will you require?

Speaker Fee / Honorarium Requested ($ USD) *

Travel Expenses:

SAQA offers speakers one night of hotel room or shared hotel room for two nights at the conference hotel. Other travel expenses (airfare, mileage) will be reimbursed up to $500 USD.

Will you require overnight accommodations?

Yes No Not sure

Any other special requirements?

Presenter Nomination

Your Name*

First Name

Last Name

Your Email Address*

Who would you like to nominate as a speaker/presenter? *

Please explain why this person should be considered*

Presenter website / social media

Have you personally heard this person speak before? *

Yes No

Would you be willing to contact this person if asked by the committee? *

Yes No

Notes