Proposal for Presentation to ICF Pittsburgh Speaker(s): Please complete this form. This information will be used to apply for continuing education credits from the International Coach Federation and to announce programs on the ICF Pittsburgh Coaches Association website. Thank you! Title of the program Primary speaker’s name Primary speaker’s phone Primary speaker’s email Website for primary speaker/facilitator Credential status of the primary speaker/facilitator ACC: PCC: MCC: Currently pursuing an ICF credential: Not currently pursuing an ICF credential: (Place x by one which applies to speaker/facilitator) Qualifications and additional credentials of primary speaker Has this speaker presented for the ICF in the past? (Yes/No) If so, please provide the topics of any past presentations Name of additional speakers/facilitators Qualifications of additional speakers/facilitators Proposed presentation date (Note: Length of presentation for Lunch and Learn is 1 hour) Please describe the learning objectives and specific subjects that will be covered in this educational offering and the core competencies that are applied. List 3 primary objectives and expected outcomes? How will the audience benefit? What percentage of the educational offering time is devoted to training directly related to ICF Core Competencies (instruction on coaching skills or ethics, or applying technical skills or ethics, or applying technical skills as a coach)? 25% 50% 75% 100% (See examples of core competencies and resource development below.) Core Competencies and Resource Development: Education in skills that may be useful to a coach is Resource Development; education in using those skills as a coach is Core Competencies Core Competencies Resource Development Using assessments in coaching Learning a personality assessment Helping your clients discover their paths Discovering your path Helping your clients build their businesses Building your business Coaching for the Portfolio exam How to apply for an ICF credential Communication with clients Public speaking Coaching different cultures/generations Differences in cultures/generations Presentation Summary Please provide a 2-4 paragraph summary of your presentation. Programs that include active participation of the audience are especially valued. Each presentation must directly address some aspect of the ICF Core Competencies or directly provide other resource information helpful to coaches. Speaker(s) Bios Audio Visual Requirements Please indicate whether you’ll need any audio visual requirements such as a laptop, projector and screen, flip chart, pad and markers, table, podium, etc. Please send copies of this document, along with photos for all speakers to: susan@leaveittolieber.com and roberta@pittsburghcoaches.com