You are viewing this design in preview mode. The design MUST be published to be live on your website.
Home Page
Member Area
About Us
Mission & History
Board of Directors
Contact Us
Membership
Membership
Volunteer Opportunities
College Relations
Student Chapter
Events & News
Upcoming Events
Calendar
HR Coffee Talk
Legislative Affairs
Speaker Interest Form
Sponsorship Opportunities
Career & Professional Development
Careers
Certification
Workforce Readiness
Speaker Request Form - ARCHIVED
*
Which SW WA SHRM event(s) are you interested in speaking at? Please select all that apply.
Monthly Luncheon
Monthly Coffee Talk
Annual Conference
*
Full Name
*
Job Title
*
Company/Organization
*
Address
*
City, State, Zip
Office Phone
Mobile Phone
Fax Number
*
Email Address
Website
*
Travel Required
Yes
No
If yes, requested amount
*
Speaker Fee Required
Yes
No
If yes, requested amount
*
Honorarium
Yes
No
If yes, requested amount
*
Deposit Required?
Yes
No
If yes, amount
Total Travel Reimbursement Amount
*
Will you require hotel accomodations?
Yes
No
If yes, requested amount
*
HR Topic(s) for Speaking
*
Title of Presentation
*
Program Description
*
Learning Objectives
*
Is this program certified by the HR Certification Institute?
Yes
No
If yes, please provide HRCI Activity ID, SHRM Chapter/Location, and Date
*
Is this program certified by SHRM?
Yes
No
If yes, please provide SHRM Activity ID, SHRM Chapter/Location, and Date
LinkedIn
Facebook
Twitter
YouTube
Google +
Instagram
Other
Please send speaker biography and proof of performance to
[email protected]
