Product Stewardship eLearning Event Proposal Form

Product Stewardship eLearning Event Proposal Form

eLearning Event Details

As you fill out the following information, please understand that, if selected, we may modify your title and description for marketing purposes.

eLearning Event Title*

Please capture, in 10 words or less, who your event is for and the topic that will be covered.

Will this eLearning Event be a Webinar or a Workshop?*

Webinars are 1-2 hour online events that are structured similar to a seminar, with the majority of the time having speakers present information and/or conduct demonstrations.

Webinars do not have a maximum number of participants.

Workshops are 1-2 hour online events that are structured to deliver information but also have the audience engage in intensive discussion on a particular subject. This could include the use of breakout rooms for small group discussion, polling, quizzes, etc...

Workshops tend to have 25-50 participants.

Workshop

Webinar

eLearning Event Length*

Please indicate how long the total event will take. Total time includes the event's introduction, presentation, and Q&A session.

1 hour

1 hour and 30 minutes

2 hours

Short Description*

Pitch this event to prospective attendees in just one sentence. You are limited to 50 words.

eLearning Event Description*

Describe the event content and format. The information you provide below will help us understand the purpose of your event. If selected, the description below will be modified and used in the marketing brochure and website. You are limited to 150 words.

Learning Objectives/Key Takeaways*

In three bullet points, outline key takeaways that will come out of your event. How will attendees think differently as a result of attending your event (“At the end of this event, attendees will be able to…”)?

If you indicated "Other" please elaborate here*

Learning/Experience Level*

Learning levels help attendees identify whether the presentation is appropriate for what they need to learn. What learning level does your presentation best fit? (Please select just one)

Novice– new to the job, role, task, with no or limited knowledge of the content.

Competent– can perform basic standards; has a thorough understanding of the content area, but limited practical/work experience in the application of the content/concepts.

Experienced- has a thorough understanding of the content area and work experience including application and evaluation of the content/concepts in a variety of contexts; can vary performance based on unique situations.

Expert– has extensive content knowledge and deep understanding of their discipline, notices features and meaningful patterns, can reason through new information, can invent new or better ways to do a job.

Explain Further*

Explain how this event will meet the needs of attendees.

How will your event incorporate interactivity and audience engagement?

Select all that apply.

Previously Presented Session?*

Has this event been presented before (through any other organization or event)?

Yes

Can Your Session Be Recorded?*

eLearning events are digitally captured and added to our eLearning archive. Can we record your event?

Yes

Can We Distribute Your PowerPoint Slides?*

As part of the eLearning archive, we would like to include PowerPoint files. Can we include your slides with the eLearning archive?

Yes

Event Sponsorship

Having a sponsor for your event will not only waive the registration fee for attendees but will also encourage more people to attend your event. Giving you more exposure and networking opportunities!

My company, or a company I know, would be interested in sponsoring this event.*

Yes! I know people that want to take advantage of this sponsorship opportunity.

I have not gotten this far in the planning process, but someone might be interested.

No, I do not know anyone that would want to sponsor this event.

Sponsor Company/Organization Name

Sponsor Point of Contact Name

Sponsor Point of Contact Email Address

Presenter #1 Information

Presenter #1 Full Name*

Please include credentials if applicable

Presenter #1 Job Title

Presenter #1 Company/Organization

Presenter #1 Address

Presenter #1 Contact Phone Number*

Phone

Presenter #1 Email Address*

Presenter #1 Twitter Handle

Presenter #1 Biography*

Please provide a short biography in paragraph form that describes your experience and expertise in product stewardship as it relates to the subject of this proposal. You are limited to 150 words.

Presenter #1 Speaking Experience

If they have previous speaking experience, feedback, articles, video links, and/or multimedia, please provide.

Presenter #2 Full Name*

Presenter #2 Job Title

Presenter #2 Company/Organization

Presenter #2 Address

Presenter #2 Contact Phone Number*

Phone

Presenter #2 Email Address*

Presenter #2 Twitter Handle

Presenter #2 Biography*

Please provide a short biography in paragraph form that describes your experience and expertise in product stewardship as it relates to the subject of this proposal. You are limited to 150 words.

Presenter #2 Speaking Experience

If you have previous speaking experience, feedback, articles, video links, and/or multimedia, please provide.

Presenter #3 Full Name*

Please include credentials if applicable

Presenter #3 Job Title

Presenter #3 Company/Organization

Presenter #3 Address

Presenter #3 Contact Phone Number*

Phone

Presenter #3 Email Address*

Presenter #3 Twitter Handle

Presenter #3 Biography*

Please provide a short biography in paragraph form that describes your experience and expertise in product stewardship as it relates to the subject of this proposal. You are limited to 150 words.

Presenter #3 Speaking Experience

If you have previous speaking experience, feedback, articles, video links, and/or multimedia, please provide.

Presenter #4 Full Name*

Please include credentials if applicable.

Presenter #4 Job Title

Presenter #4 Company/Organization

Presenter #4 Address

Presenter #4 Contact Phone Number*

Phone

Presenter #4 Biography*

Please provide a short biography in paragraph form that describes your experience and expertise in product stewardship as it relates to the subject of this proposal. You are limited to 150 words.

Presenter #4 Speaking Experience

If you have previous speaking experience, feedback, articles, video links, and/or multimedia, please provide.

Presenter #5 Full Name*

Please include credentials if applicable

Presenter #5 Job Title

Presenter #5 Company/Organization

Presenter #5 Address

Presenter #5 Contact Phone Number*

Phone

Presenter #5 Email Address*

Presenter #5 Twitter Handle

Presenter #5 Biography

Please provide a short biography in paragraph form that describes your experience and expertise in product stewardship as it relates to the subject of this proposal. You are limited to 150 words.

Presenter #5 Speaking Experience

If you have previous speaking experience, feedback, articles, video links, and/or multimedia, please provide.

Additional Information

Is there anything else you would like us to know about this proposal?

By submitting this form, you agree to meet ALL of the listed speaker expectations and understand that if deadlines are missed we reserve the right to make adjustments or cancel your eLearning event.

Send me a copy of my responses

eLearning Event Details

Event Sponsorship

Presenters

Presenter #1 Information

Presenter #2

Presenter #3

Presenter #4

Presenter #5

Final Step