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Seminar Presenter Proposal Form

Please submit ONE FORM for each proposed seminar

  • Each proposal will be evaluated according to the course description, learning objectives, presenter’s credentials/expertise and overall educational value.
  • Submitting a proposal does not mean you will be selected as a presenter.
  • If your proposal is selected, you will be contacted and receive additional information from the CCCA office.
  • Please attach a bio and a high-resolution digital head shot jpeg (under 20 megabytes) for each presenter.
Required field(s) are indicated by an *.
  PRESENTER INFORMATION: Help us get to know you!
  FILE UPLOADS: Send us your bio and photo
  CCCA/PRESENTER EXPERIENCE: Your relationship with CCCA
Enter your experience/comfort level with presenting to small to medium sized groups.
  REFERENCES: Name, phone, email of three individuals who have heard you present this or a similar seminar
*   Phone *   Email
*   Phone *   Email
*   Phone *   Email
  SEMINAR INFORMATION: Details about your presentation
Limit: 40-50 words
Include 2-5 seminar outcomes
Click checkbox below if you're not a robot.