Speaker Workshop Information Form

First Name *

Last Name *

Email *
Name and credentials as you want them to appear *
Mailing Address *
City *
State *
Zip *
Daytime Phone Number *
Cell Phone Number *
Your Professional Title *
Organization/Business *
Brief Bio as you want it to appear (2 or 3 sentences) *
Workshop Title as you want it to appear (8 words or less please) *
Date of Workshop *
Time of Workshop *
Brief Workshop Description as you want it to appear (2 or 3 sentences) *

Please list three major topics that you will be covering.

Outline of major topics to be covered *
Do you need us to provide a lap top? *

We have to pay for any equipment that we rent so please check only the equipment you intend to use. Any changes need to be requested no later than one week prior to the workshop and should be submitted to christy@naswaz.com
What lap top accessories do you need for your presentation? Press the CTRL key and then click the items to select more than one item. *

Please select any of the items below that you will need.  Press the CTRL key and then click the items to select more than one item. 
What other equipment will you need? *
Do you need anything else that is not otherwise listed? If so, please state it here.



If you will be doing a PowerPoint presentation, we advise that you e-mail it to Nancy at ASU (Nancy.Schlicht@asu.edu) ahead of time so she can load it onto her computer and make sure it runs satisfactorily.  This will prevent compatibility problems we have experienced between the computer and projector. We also suggest a background other than white because a white background is harder to see from a distance.

 
PowerPoint Presentation Instructions - will you have a PowerPoint presentation? *




1050 E Southern Ave, Suite 2
Tempe, AZ 85282-1259
Ph: 480.968.4595 • Fax: 866.261.7588
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