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IMC Business Leader Series(tm) June 6, 2007 - Application

The application process is complete - no more applications are being accepted.
Thank you for your interest.

Please submit your application to be a speaker/panelist by completing this form; your application will be emailed to the Event Committee. If you prefer, you can download the Application as a Word document, fill it out, and FAX it to the Committee. For official information about the event, once it has been finalized, please see the IMC NorCal website: www.imcnorcal.org.

We thank you for being willing to present at our Event.


**Required fields are shown in Red

Full Name

Title

Company

Address

City, Zip, State

,

Telephone

FAX

Email

URL/Website

Are you...

IMC Member? CMC Certified?

Format

Presentation (Sharing of presenter's knowledge and expertise on topic)

Interactive (Will Q&A be conducted during the presentation?)

Proposed Presentation Title

Learning Objective
(optional)

Primary Objective

Provide a one sentence primary objective for your presentation. Please do not give bullet points, multiple objectives joined by semi-colons, or several sentences.
Summary
 In 100 words or less, provide a summary of your presentation content. If you are selected to present, the description submitted below may be used in promotional material and on the IMC/NorCal website. (NOTE: The IMCNorCal Event Committee reserves the right to edit and/or reduce your title & desription for program clarity.)
Credentials
 Your background/expertise in the topic being presented.
Outline
(optional)
 Please include a brief outline of your presentation.
Speaking References
 Please provide the Name, Position, Company, Title, Phone #, and Email address for 3 individuals for whom you have presented similar materials.
Terms of Engagement
 IMC NorCal requires each presenter to adhere to the following Terms of Agreement prior to and during the event.
  • Work closely with event organizers and meet all deadlines.
  • Work cooperatively to refine your presentation to meet the needs of our target audience (business leaders) and presentation requirements.
  • Make no substantial changes in content, format, audio/visual needs, room setup, identity or number of presenters, without prior approval of event organizers.
  • Design and provide high-quality materials is MSWord or PowerPoint format.
  • Recognize that your presentation is an opportunity to share information and not a showcase for promotion of your own business.
  • Respect IMC NorCal as the sponsoring organization with either positive or neutral comments, either written or oral, before, during and after the Event.
  • Refrain from selling your products or services in your presentation.
  • Allow IMC NorCal to reproduce submitted materials on the IMC NorCal website.
  • Independent recording of presentations is not permitted without prior approval.

By entering my name into the space below, I agree that I will abide by these terms and conditions.

Name:



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Oakland, CA 94602

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