Submitter Contact Information
Name
*
First Name
Last Name
Email
*
example@example.com
Position/Title
*
Agency/Organization
*
Phone Number
*
Proposed Presentation
Title
*
Format
*
Panel Discussion
Lecture
Roundtable
Other
Desired length of time for presentation
*
1 hour - 1.5 hrs
1.5 - 2 hrs
2 - 3 hrs
Target Audience
*
POST Directors
Academy Directors
Trainers
Summarize your presentation and how it relates to IADLEST’s mission(s):
*
0/300
Explain how attendees would benefit from your presentation:
*
0/300
Do you offer a service/product that relates to your training/presentation?
*
Yes
No
Describe why the topic is relevant in today’s world:
*
0/300
Presenter(s) Contact Information
Check here if the first presenter is the same as the submitter:
Same as submitter
Presenter One
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Presentation experience/skills
0/100
Presenter Two
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Presentation experience/skills
0/100
Presenter Three
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Presentation experience/skills
0/100
Submit
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