Speaker Application Form

To apply to speak, please fill in the form below.

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Speaker's Name
Organization Name
Address
Website
Phone Numberoffice & mobile
Please check your preferred format for your program:
Are you credentialed through the ICF?
If ‘Yes’, what credential do you hold?
Have you ever presented to ICF or one of its chapters before?
If “yes”, when, where and what was your presentation title:

PREPARING YOUR PROPOSAL:

1. Review the Speaker Submissions Guidelines document (click on link for document)

2. Review the ICF Ethics & Regulations documents (click on link for document)


SESSION INFORMATION:

Session titles and descriptions are posted on the ICF Malaysia website.  They are used for marketing communications so that attendees know what to expect from your session.  Your presentation delivery should remain consistent with what you submit below.  This information will assess appropriateness for our members and help us properly promote your event.

Session Title
Session DescriptionMin 150 Chars - Max 250 Chars
What problem(s)/challenge(s) will attendees learn to solve and how will this support their professional or business needs?
What will attendees learn? Please list 3 - 4 takeaways.
State the core competencies and resource development topics will be covered during your presentation and provide a brief explanation.Please note these will be used to apply for CCEUs
Please provide a brief outline of your presentation.Interactive experiences are highly encouraged (dyad, triad or group exercises, role play, etc.) though not required.
Please indicate what you will require for an in-person presentation
Any other information or needs not covered
Your Bio150-200 words with information that ties your presentation to your area of expertise
Choose File
Your PhotoAttach jpeg file
Choose File

Please list 3 references including their contact information

Reference Name 1
Reference Contact 1
Reference Name 2
Reference Contact 2
Reference Name 3
Reference Contact 3
How will you promote this program to your own contacts, fans and followers?
Links to a 5-minute video clip (YouTube, Video, your website, etc.) introducing your proposed topicif available
We want this to be a mutually beneficial opportunity. It is acceptable to make an offer for services or programs at the end of the presentation ONLY.  Please let us know if you would like a table set up at the back of the room for any books, literature, etc., that you would like to put out (including items you have for sale).  Many presenters offer a free gift drawing in exchange for business cards (though please mention when collecting them if you’ll be putting them on your mailing list).
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