HRPA Professional Development Speaker Submission Form


*Required fields

Speaker Information
* Prefix (Mr., Ms., Dr.):  
* First Name:  
* Last Name:  
Designation:
* Title:  
* Company:  
* Address:  
* City:  
* Province/State:  
* Postal/Zip Code:  
* Country:  
* Cell Phone Number:  
* Alternate Phone Number:  
* Email:    

Have you spoken for HRPA in the past?

If yes, please indicate the year(s), the event(s) and the topic(s)
* Speaker Biography:
Please limit length to 200 words. Copy and paste from your pre-existing document or
type directly into the field below.
(Remove all formatting, including bullet points. Use plain text only)
 
 

Primary Contact if Different from Above (for example, agency, assistant, agent)
Primary Contact Name:
Company/Agency:
Address:
City:
Province/State:
Postal/Zip Code:
Country:
Phone Number:
Cell Phone Number:
Email:
If you can not proceed, check required fields above.