Call for Presenters Form

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Part 1: Speaker Details and References

Number of Speakers:

Speaker 1: Contact Details

Speaker 1 will be the primary contact person for the proposal, if more than one speaker

Member Status *	P.Eng. Member P.Geo. Member Not a member of the Association
First Name *
Last Name *
Title *
Company/Organization *
Address *
City *
State/Province *
Postal Code *
Phone *
Fax
Email *
Speaker Bio *

Education and Academic Credentials

What designations do you currently hold? (List all that apply)

	Designation	Granting Institution/Organization	Year
1
2
3

Awards or Recognition for Best Practices

	Award/Recognition	Granting Institution/Organization	Year
1
2
3

Speaking Engagements

Where have you presented in the last 2 years?

	Title of session	Organization	Year
1
2
3

Publication List

	Title	Publication	Year
1
2
3

Part 2: Proposed Professional Development Activity Details

Title of Presentation *

Please provide a descriptive and compelling presentation title.

Prerequisites

Detailed Session Description *

Please include why this topic is of importance and what, if any, research findings it is based on. Describe the issue or problem that this session addresses as it will be used for marketing purposes. Describe how this session will address this issue or problem. Why is this topic of interest to the attendees? What’s in it for them?

Learning Objectives *

Please include 4-6 specific learning objectives of your session. Include what usable tools can be implemented at the workplace. These bullet points should outline benefits for an attendee in this session and use behavior verbs that describe observable and measurable behaviours. Language should be succinct and clear as it will be used for marketing purposes. Use concrete verbs such as: assess, build, calculate, distinguish, evaluate, integrate, interpret, measure, observe, plan, rank, recognize, research, resolve, specify, state, summarize, transform, utilize, etc. For example, Attendees will learn: How to evaluate alternative approaches to outsourcing.

Audience Level

	Novice
	Intermediate
	Advanced

Target/Intended Audience

Describe who should attend the session.
Example: Electrical engineers seeking a fuller understanding of transients associated with current interruption in high voltage networks: - System Operating and Planning Engineers - Specification and Procurement Engineers - Protection and Control Engineers - Commissioning and Maintenance Engineers - Asset Managers - Consulting Engineers

Minimum Class Size

Maximum Class Size

Seminar Length (2-hour, ½ day, full day, full day multi-speaker, webinar, other) *

Preferred day for speaking

Speaking fee or honorarium

Other submission comments

Part 3: References

Please provide the name and contact information for 3 references. References must be able to attest to expertise and/or your presentation style and skills.

Reference 1 *

Full Name
Title
Organization
Phone
Email
Relationship to Reference

Reference 2 *

Full Name
Title
Organization
Phone
Email
Relationship to Reference

Reference 3 *

Full Name
Title
Organization
Phone
Email
Relationship to Reference

Summary

Thank you for taking the time to provide your proposed professional development activity to our professional development program!

Please review the information you have provided to ensure accuracy – you may wish to print this form from your browser before you hit submit below for a record of your submission.

You must select Submit to submit your proposal. A confirmation screen will appear to inform you that your proposal has been successfully submitted.

You will receive an email confirmation upon submission of your form. If you do not receive a confirmation before the end of the day, please call 604.430.8035 or Toll-Free 1.888.430.8035 and ask to speak to the Continuing Professional Development department.

Speaker Details and References

Proposed Professional Development Activity Details

Title of Presentation
Prerequisites
Detailed Session Description
Learning Objectives
Audience Level
Target/Intended Audience
Seminar Length:
Minimum Class Size
Maximum Class Size
Preferred day for speaking :
Speaking fee or or honorarium:
Other submission comments:

References

Copyright

I agree that, by the act of submission of this presentation proposal that I will not infringe on the copyright or other intellectual property rights of any third party, and that I will indemnify Engineers and Geoscientists BC completely from any action that may occur as a result thereof.