Call for Proposals - Influence 2018 July 14-17, 2018 Hilton Anatole, Dallas, TX Presenter Information Note: If you are co-presenting you will have the opportunity to complete the second person's details on page two of this form. * First Name: * Last Name: Credentials: CSP (Certified Speaking Professional) CPAE (Council of Peers Award for Excellence) Speaker Hall of Fame Other (please specify) * Email address: Speaker's email Assistant's email * Are you a(n): NSA Member Member of a GSF Association Academy Member Non-Member If you are a member of a GSF Association, which one? 1
NSA Chapter you belong to (if applicable): Please provide links to your: Website Facebook page LinkedIn profile Twitter Instagram 2
Call for Proposals - Influence 2018 July 14-17, 2018 Hilton Anatole, Dallas, TX Co-Presenter Information (If applicable) First Name: Last Name: Credentials: CSP (Certified Speaking Professional) CPAE (Council of Peers Award for Excellence)Speaker Hall of Fame Other (please specify) Email address: Speaker's email Assistant's email Are you a(n): NSA Member Member of a GSF Association Academy Member Non-Member If you are a member of a GSF Association, which one? NSA Chapter you belong to (if applicable): 3
Please provide links to your: Website Facebook page LinkedIn profile Twitter Instagram If this session will be a panel discussion, please list additional presenters here. Note: Due to space restrictions only two presenters may be listed in the printed brochure. 4
Call for Proposals - Influence 2018 July 14-17, 2018 Hilton Anatole, Dallas, TX Presentation Information Sessions that clearly provide steps HOW-TO accomplish something are preferred. Based on past surveys, these topics are desired from attendees. Please note if your proposed session fits in any of these areas: Social Media: how to use it and get traction from it Platform Skills Sales & Marketing - online Sales & Marketing - from the platform Technology How to run a speaking business: hiring staff, writing contracts, prospecting, etc Online Education: creating content, marketing etc Topics geared toward brand new speakers Topics geared toward speakers with 10+ years experience - taking your business to the next level Networking/Relationship building Other (please specify) * All sessions are 75 minutes in length. How will you add interactivity to your session (other than lecture and Q&A) to increase the learning impact on your audience? (Note: Session participants will be asked to evaluate interactivity). 5
* Presentation Competency Click here for more information on NSA's Key Competencies. Which of the following areas will your presentation address? Please select all that apply. Expertise Enterprise Eloquence Ethics * Presentation Title (no more than 12 words) NSA has the right to edit as necessary. * Description of Session (no more than 150 words) to include specific topic area such as technology, social media, performance etc. This information will be used for marketing purposes. NSA has the right to edit as necessary. * What are 3-5 tangible takeaways that people will walk away with after attending your session? (Session will be evaluated on whether presenters delivered on these objectives.) By attending this session, participants will know HOW TO: 1. 2. 3. 4. 5. * In order to continue the learning, what should participants of your session be doing 30, 60 and 90 days from the presentation? 30 days 60 days 90 days 6
Is there anything else we should know about your proposed presentation? * Please provide a link to a video showing you presenting a session (This is required; it does not need to be video of the session you are proposing here. Do not send your sizzle reel, please). Would you like to send a video message to the event co-chairs (Jill Schiefelbein & Corey Perlman) explaining what your presentation will entail? This is not required, but if you include a video link below they promise to watch it. No more than 90 seconds please! 7
Call for Proposals - Influence 2018 July 14-17, 2018 Hilton Anatole, Dallas, TX Experience * Have you been to an NSA national meeting in the past? Yes No * Which NSA national meetings have you presented at? Check all that apply. I have not presented at any of these NSA national meetings Influence 2017 (Orlando, FL) Video Lab 2017 (Tempe, AZ) Winter Conference 2017 (San Francisco, CA) Influence 2016 (Phoenix, AZ) Winter Conference 2016 (Austin, TX) Tech Lab 2015 (San Jose, CA) Influence 2015 (Washington, DC) Media Lab 2015 (New York, NY) Winter Conference 2015 (Las Vegas, NV) Business Accelerator Lab 2014 (High Point, NC) Perform 2014 (San Diego, CA) Publishing Lab 2014 (New York, NY) Platform Profits 2014 (Tempe, AZ) * Have you presented this proposed session at an NSA chapter in the past? Yes No 8
If yes, please indicate chapter name(s) and date(s). If you have presented at a number of NSA chapters, please list the most recent three. 1. 2. 3. 9
Call for Proposals - Influence 2018 July 14-17, 2018 Hilton Anatole, Dallas, TX References Please list the names and phone numbers of three people who have seen you present and can discuss your ability to speak on your proposed topic. (NSA members preferred but not required) * Reference 1: Full Name: Phone Number: E-mail Address: * Reference 2: Full Name: Phone Number: E-mail Address: * Reference 3: Full Name: Phone Number: E-mail Address: 10
Call for Proposals - Influence 2018 July 14-17, 2018 Hilton Anatole, Dallas, TX Presenter Agreement Telephone: Presenter's phone number Co-Presenter's phone number * Biography Limited to 100 words. This information will be used for marketing purposes, not necessarily in its entirety. Co-Presenter's Biography Limited to 100 words. This information will be used for marketing purposes, not necessarily in its entirety. * By submitting a proposal, I/we agree: (please check all) To be available to present during any time slot within the dates of the convention. If selected, NSA will provide the date and time of your presentation by December 31, 2017. That I will not be listed as a presenter on more than two proposals. NSA may edit my session title, description and/or learner outcomes as necessary. I will not discuss the proposal selection process, and will accept the final decision of the selection committee. That my session will be recorded and I authorize NSA to market, sell and promote the presentation, in any form, to NSA members and non-members. I understand I retain the right to use the electronic recording(s) for any purpose except for sale and marketing directly to NSA members. NSA retains the right to ownership of the master recordings. This taping release does not prohibit the presenter from retaining ownership of the content of the material recorded. To honor NSA's Code of Professional Ethics. 11
* If selected, I understand and agree that as an NSA presenter, I must also: (please check all) Meet all requested due dates from NSA, including but not limited to: session content, book sale information (if participating) and speaker information (bio, headshot etc) Register and pay to attend the meeting Cover the cost of all travel, lodging and food expenses for the convention Provide and distribute my own handouts Provide any audio visual equipment outside of the projector and screen NSA provides Not discuss fees or fee range during my presentation Not receive speaking fees or expense reimbursement from NSA Present the program for which I submitted this proposal Prepare a 1-3 minute video tip for use in event marketing Refrain from mentioning, selling or promoting any product or service that would result in financial gain for me or my companies, except as specified in the Presenter Agreement form, which will be provided to me if I am selected to present. Products and services include, but are not limited to, books, DVDs, coaching, consulting, special reports, boot camps, CDs, MP3s, teleseminars, webinars and subscriptions. If I am conducting a session that is specifically designed to discuss the development and/or sales of products or services, I may use my products, services and techniques as examples with the express permission of the convention chair. I will inform the audience that I have secured such permission so they understand that I am not violating these guidelines. * I have read and agree to abide by the National Speakers Association Proposal and Presenter Guidelines as indicated above. Entering your name below implies agreement. * Today's Date: 12