Call for Faculty Form - ALTA Meetings

There is no way to save a partial entry of this form, so make sure you have all of the required information and items ready before you begin!

* Indicates a required field

1. Contact Information*

Please provide your contact information:

Name*

First Last

Title*

Company*

Mailing Address*

Street Address City State ZIP Code

Email*

Office Phone*

Cell Phone*

2. Main Focus

In one sentence, what is the topic you are most interested in presenting?*

3. Areas of Expertise*

Please select your area(s) in which you are interested in speaking that correspond to your areas of expertise. You will have space in each section to expand on your selections.

Business Operations

Business Operations Other*

Business Operations Key Takeaways*

Please briefly explain the messages you would want attendees to take away from the Business Operations topic(s) chosen.

Regulatory & Compliance

Regulatory & Compliance Other*

Regulatory & Compliance Key Takeaways*

Please briefly explain the messages you would want attendees to take away from the Regulatory & Compliance topic(s) chosen.

Technology Trends

Technology Trends Other*

Technology Trends Key Takeaways*

Please briefly explain the messages you would want attendees to take away from the Technology topic(s) chosen.

Other Area of Expertise

Other:

Other Area of Expertise*

Other Area of Expertise Key Takeaways*

Please briefly explain the messages you would want attendees to take away from your proposed topic.

4. Speaker Bio*

Bio Upload

Please upload a speaker bio in Microsoft Word or PDF format. If selected to speak, this bio will be used on the ALTA website and in any CE/CLE filings. If your submission fails due to the file type of your speaker bio/headshot, please remove the bio/headshot from your form and submit the form. Then please email the bio/headshot to [email protected].

Accepted file types: doc, docx, pdf, Max. file size: 2 MB.

5. Speaker Headshot*

Headshot Upload *

Please upload a headshot, max size is 2MB. This headshot will be used on the ALTA website. If your submission fails due to the file type of your headshot/bio, please remove the headshot/bio from your form and submit the form. Then please email the headshot/bio to [email protected].

Accepted file types: jpg, png, pdf, Max. file size: 2 MB.

Check here if you do not have a headshot or don’t want your photo used on the ALTA website.

6. Sample Video*

Video Upload*

Please upload a short (2-3 minutes) sample of you giving or pretending to give a presentation. This is meant to evaluate presentation style. Production quality will not be evaluated. Enter the full URL to the video below. (e.g. https://gravityforms.com)

7. Preferred Instructional Method*

Instructional Method*

Please indicate your preferred Instructional Method (check all that apply):

Preferred Instructional Method Other*

8. Recent Speaking Engagements*

Please provide information on up to 3 of your most recent speaker engagements.
If you have not spoken publicly before, enter n/a for all values.

Speaking Engagement*

Organization	Event	Title/Topic	Date	Format	Co-Presenters

9. Additional Information

Please provide any additional information you would like us to know (ex: co-presenter, specific topic idea).

Faculty Expectations:

Speakers receive a 25% discount on registration to ALTA EDge. If selected, a 25% discount code will be provided to you. If not selected, we will work with you to honor early-bird and any sale rates. (Please do not register before learning about the status of your application).
Speakers are responsible for their own travel and accommodations.
Speakers are required to sign and return a speaker agreement form.
Speakers are required to be available to speak anytime Thursday, March 20 or Friday, March 21. Official timeslots will be confirmed in January.
Speakers will be required to submit learning objectives, timed outline, and other collateral to ALTA by an assigned date.
Speakers are required to participate in at least one training webinar between February and March. Date and time are TBD.

Confirmation:*

Yes, I understand and agree to the Faculty Expectations above

Verification: