New Speaker Application

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Key Speaker's Name *

Other Speaker’s Name

Organization Name *

Address *

Website *

LinkedIn *

Facebook/Twitter/IG *

Contact Number *

Email *

Please check your preferred format for your program: *

Tele-class/Webinar (maximum 150 minutes, including Q & A)
In-person morning, afternoon or evening meeting (maximum 150 minutes, including Q & A)
Either
Other format

Other format *

Please indicate

In-Person Presentation: *

Please indicate what you will require

Please indicate. Any other information or needs not covered: *

We will try our best to provide

Are you credentialed through the ICF? *

Yes
No

If ‘Yes’, what credential do you hold? *

ACC
PCC
MCC
N/A

Presenter References – references from those who have experienced such a session/workshop by you previously. However, if this is your first time presenting or speaking, then describe why you decided to begin this new endeavour.

Please list 3 references including their contact information

First Reference

NAME	EMAIL/CONTACT

Second Reference

NAME	EMAIL/CONTACT

Third Reference

NAME	EMAIL/CONTACT

Have you ever presented to ICF or one of its chapters before?

Yes
No

If “yes”, when, where and what was your presentation title: *

PREPARING YOUR PROPOSAL:

1. Review the Speaker Submissions Guidelines (click on link for document)
2. Review the ICF Ethics & Regulations (click on link for document)
3. Review the ICF Core Competencies (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 Duration (mins) *

Session Description *

Min 150 Words - Max 250 Words

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. Review the ICF Core Competencies.

Please provide a brief outline of your presentation.

Interactive experiences are highly encouraged (dyad, triad or group exercises, role play, etc.) though not required.

Speaker's Bio

More than one speaker! Kindly share Bio in this section by putting NAME (IN CAPITAL) for identification 150-200 words with information that ties your presentation to your area of expertise

Your Photo *

Please make sure it is high resolution, we will be using it for marketing in our website/social media. (Max Width and Height: 500px x 500px)

Links to a 5-minute video clip (YouTube, Video, your website, etc.) introducing your proposed topic

if 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. For in-person chapter meeting, 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).

Speaker Application Form