PRESENTER INFORMATION :
Name
*
Title
Organization
Daytime Phone
*
Alternate Phone
Email
*
Website
Address
*
City, State, Zip
ICF Member Status
*
:
Local
National
Not Member
Years of Coaching Experience
*
:
0-2
3-5
6+
NA
Please provide two professional references who have seen you present
within the past year and can discuss your ability with our Program Chair.
Name
Position
Phone
PRESENTER #2 INFORMATION (if applicable) :
Name
Title
Organization
Daytime Phone
Alternate Phone
Email
Website
Address
City, State, Zip
ICF Member Status :
Local
National
Not Member
Years of Coaching Experience :
0-2
3-5
6+
NA
ABOUT YOUR PRESENTATION :
Subject Area
Objective #1
Objective #2
Objective #3
Please suggest the most marketable title for your proposed presentation
*
:
In order for us to effectively market your presentation, please provide
a brief introductory paragraph (200-300 words) describing the essential
points of your presentation. Please focus on the value it will have for
our members
*
:
Please provide a brief bio (1 to 2 paragraphs) that we can use when
promoting your presentation
*
:
Please double-check your entries before clicking the SUBMIT button.
*
Required