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. Click here to enter text. 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): Click here to enter text. Objective(s): 1. __________________________________________________________________________________ 2. __________________________________________________________________________________ 3. __________________________________________________________________________________ Speaker Bio (limited to 100 words; please use word count): Click here to enter text. 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.): Click here to enter text. 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: Click here to enter text. Thank you for your consideration! SMAHRA PO Box 325 Mankato, MN 56002-0325 If you have any questions, please contact Becky Cromwell at email@example.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.