PROGRAM SPEAKER/PRESENTER
The Southern Minnesota Area Human Resource Association (SMAHRA) invites you to
become a Speaker for a future event.
Company: Click here to enter text.
Presenter(s) Name: Click here to enter text.
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Presenter(s) Title: Click here to enter text.
Address: Click here to enter text.
Main Phone: Click here to enter text.
City/State/Zip: Click here to enter text.
Alternate Phone: Click here to enter text.
www: Click here to enter text.
Email: Click here to enter text.
Thank you for your interest!
The Southern Minnesota Area Human Resources Association (SMAHRA) is accepting requests from
speakers for future monthly programs. Please provide the requested information below to be
considered for our programming calendar. Most programs are between 2.25-3.5 professional
development hours. Our programs are held on the third Tuesday or Thursday of each month and can
be in either the morning or afternoon. We appreciate that you are taking the time to tell us more
about who you are and what you do.
An incomplete application may result in the program not being selected so please fill in all fields.
PRESENTATION:
Title: Click here to enter text.
Description of Presentation (limited to 150 words; please use word count):
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Objective(s):
1. __________________________________________________________________________________
2. __________________________________________________________________________________
3. __________________________________________________________________________________
Speaker Bio (limited to 100 words; please use word count):
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Other Groups you have presented this topic to before: Click here to enter text.
Length of your proposed presentation (without break): Click here to enter text.
Format of the presentation (PowerPoint, audience activities, video, games, etc.):
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Are you a SHRM Preferred Provider? ☐ No ☐ Yes
Has this program been previously approved by HRCI? ☐ No ☐ Yes, program # ___________________
Does this program meet the requirements for “strategic” credit through HRCI? ☐ No ☐ Yes
LOGISTICS:
I would prefer presenting in the: ☐ Morning ☐ Afternoon ☐ Either
I would prefer to present: ☐ January ☐ February ☐ March ☐ April ☐ May ☐ July ☐ August ☐
December
I would like to be considered for the Annual Employment Law Seminar in September: ☐ No ☐ Yes
I would like to be considered for the Annual Diversity Seminar in November: ☐ No ☐ Yes
If I am selected I will need the following:
Podium ☐ No ☐ Yes
Projector ☐ No ☐ Yes (you must provide your own adaptors if you have a tablet)
Flip Chart ☐ No ☐ Yes
Computer and Projector (for use with a flash drive) ☐ No ☐ Yes
I will bring my own handouts: ☐ No ☐ Yes - SMAHRA Board Members will help distribute at the event.
I will forward my file in advance to photocopy for attendees and pay a charge of $0.10 per sheet of
paper. Handouts will be printed two sided. ☐ No ☐ Yes - SMAHRA will print and exact number of
handouts from the registration list for the event.
COST:
☐ No cost for my services. I would like the opportunity to present to SMAHRA.
☐ Travel Only – Mileage (car)
☐ Travel Only – Airline
☐ Speaker Fee - $ __________________
☐ Speaker Fee - $ __________________ plus travel
☐ My company is also interested in being a sponsor for the program I am selected to present.
Comments:
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Thank you for your consideration!
SMAHRA
PO Box 325
Mankato, MN 56002-0325
If you have any questions, please contact Becky Cromwell at beckycr@bolton-menk.com or
507.625.4171
Thank you and for supporting our programming and the continuing education of human resources
professionals! If you would like information on future monthly program topics please contact us.