Request for Speakers

All speakers MUST complete the following form. Please use additional pages to complete all information requested.

Session TypeKeynote
Breakout Session

Name

Title

Organization

Street Address

City/State/Zip Code

Telephone

Fax

E-mail Address

Traget Audience Skill Level

Please explain why your session fits into the category and skill level you indicated above

Please list 3 key benefits/learning objectives

Session DescriptionPlease include a description of your session

ReferencesPlease list 2 references

I am also interested in the following opportunitiesSponsorship
Exhibitor

Deadline for submission of proposals is January 27, 2012. A resume or curriculum vitae must be submitted with all proposals. If proposing more than one session within a category, please fill out an additional form for each session. Send your proposal(s) and resume(s) (CVs) electronically only to: Amy@CHPRMS.com.

Questions? Please call 803.412.6742 or E-mail Amy@CHPRMS.com.
Proposals will be acknowledged and speakers notified by February 24, 2012.

CHPRMS

Carolinas Healthcare Public Relations & Marketing Society

Request for Speakers

Meetings & Events