Licensing Executives Society

Presentation Proposal Form

* - required fields
* First Name:
   Middle Name:
* Last Name:
* Organization:
* Position/Title:
* Address:
* City:
* State/Province:
* Zip/Postal Code:
* Country:
* Phone:
* Fax:
* E-mail:
* Title of Proposed Presentation:
* Submitted as:
* Format:

(Please note: The program committee will make final determinations about format, based on the content and program needs.)

* Sector/Committee from which you request sponsorship of this proposal:
LES Committees:
LES Sectors:
* Description of Session (200 words):
You may enter up to 200 words above.
* 3 Key Points/Objectives/Major Message:

* Handouts are required for all workshops and add-ons. Please list handouts and other tools you plan to provide participants.
(copies of slides, articles, lists of resources or references, etc.)
* Delivery Format:
Workshop
%  Lecture    %  Question and Answer    %  Small Group Activity
* Intended Audience:
Novice - (1-2 years experience in this field)
Intermediate - (3-5 years experience in this field)
Advanced - (6+ years experience in this field)

Will your format have co-presenters? Note: The number of speakers is limited to three. The person whose name appears on the first page of this proposal is considered the session leader/moderator. Session leaders are responsible to keep each co-presenter informed about arrangements, responsibilities. The leader also acts as liaison with the LES staff.
                  Co-Presenter Moderator Information
Name:
Organization:
Position/Title:
Complete Address:
Phone:
Email:
                  Co-Presenter Information #1
Name:
Organization:
Position/Title:
Complete Address:
Phone:
Email:
                  Co-Presenter Information #2
Name:
Organization:
Position/Title:
Complete Address:
Phone:
Email:
                  Co-Presenter Information #3
Name:
Organization:
Position/Title:
Complete Address:
Phone:
Email:
* Have the speakers presented at an LES meeting in the last three years?
If so, please provide the title(s) and date(s) of the presentation(s)
* Have the speakers presented or published similar material for any other organization in the last three years?
If so, how will this workshop be different? Or, if the content is the same, why is it still relevant?
* Are you (and your co-presenters, if any) willing to present this program on a stand-by basis if this proposal is not accepted due to space limitations?
* Please describe the speaker's experience or expertise related to the topic.
   
After you submit your proposal, you should be directed to a Thank You! web page and receive an automatic email confirmation in the email you provided in the form. If you do not, your proposal was not succesfully submitted.
 

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For information about LESI, please contact:

Stephanie M. Silverstein
LESI Membership Coordinator
Phone: +1 (703) 836-0026
Fax: +1 (703) 836-3107