Speaker Nomination Form

Speaker Nomination Form

Primary Info

Activity Title*

Activity Title*

Date of Activity*

Date of Activity*

Target Audience*

Target Audience*

Proposed Speaker Name*

Proposed Speaker Name*

Email*

Email*

Speaker Selection Criteria

Question*

Question*

Meets Standard
Needs Improvement
Academic Qualifications
Professional Experience
Teaching / Presentation Skills
Communication Skills
Previous CPD / Training Experience
Reputation & Peer Feedback
Alignment with Learning Outcomes

Upload Speaker CV*

Upload Speaker CV*

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