Apply to Speak Form

First Name *

Last Name *

Organization *

Email *

I/we would like to propose this topic/title: *

Name of Proposed Presenter: *

Job Title/Role *

Proposed presenter's company:

Has presenter spoken at a CAI-NC event before?

No Not sure Yes

Names of any proposed co-presenter/s (same profession or allied field)

Proposed co-presenter's organization

Has this firm presented this topic to an NC mgmt company in prior 12 months? *

Enter required value Yes No Not sure

If yes, what city?

6 bullet points representing proposed content/scope: *

Who do you see as gaining the MOST value from this topic? *

Early career managers

Seasoned managers

New Board Members

Seasoned Board Members

WORD document summarizing intended content (OPTIONAL)

20MB max