Form - Institute of Organization Development

IOD 2017 Conference: Speaker Registration Form
Annual Conference: Future of OD: A Game Changer
May 24-27, 2017
Delray Beach, Florida, USA
Speaker/Workshop Proposal Submission Form
Deadline December 31, 2016
About the Conference:
The 2017 IOD Conference, “A Game Changer”, is
being held on May 24, 25, & 26th, 2017 in beautiful
Delray Beach, Florida. Our Partners and Conference
attendees travel from many countries to participate
in the IOD annual conference. This is our 7th annual
conference.
IOD is looking for a few qualified presenters who can
align their expertise with the conference theme (OD:
A Game Changer). Topics should be innovative and
relevant to the field of OD and provide participants
with an interactive experience and real-life tools that
can be applied in their organizations.
Click here to learn more…
Call for Speakers:
If you’d like to share your OD Experiences and Techniques with other OD professionals, we’d
like to hear from you! Please send us a brief description of your presentation using the
attached form.
Instructions for using this form: Complete the form and send via e-mail with a professional
photo headshot to: [email protected].
1
IOD 2017 Conference: Speaker Registration Form
Speaker Preparation Timeline:
1. 12/31/16: All presenter submissions due to [email protected]. Call 954-341-2522 for
questions.
2. 2/17/17: All presenters will be notified of acceptance. IOD Conference Chair may ask for a
few modifications, if needed, to align to conference theme, “OD: A Game Changer.”
3. 3/20/17: All draft materials submitted to IOD Speaker Committee
4. 4/20/17: All final materials submitted [email protected]
My Information: All fields are mandatory, unless noted as optional.
Last Name
First Name
Designation (e.g., PhD, MA, etc.)
Professional Title (optional)
E-mail address
Phone number (with area code)
Full Address
Bio (for conference publication)
Linked In Profile URL (optional)
Co- Presenter? (Y/N)
Please provide photo and bio.
Describe the role this person will play
in the presentation.
2
IOD 2017 Conference: Speaker Registration Form
Topic Information & Delivery:
Topic Name
Description – Please describe the
model, theory, concept you are
presenting and how it will benefit the
participant
Learning Objectives – Describe the
learning outcomes
Take Away - What the audience will
take from this session! What skill or
tool, handout will be provided?
Target Audience (optional)
Participation versus Lecture
What is the % of participant
interaction during this session
including group discussion, group
activities, and debrief
Time Needed for Delivery
•
1 1/2 hour Presentation
Check Preference
•
Facilitated Interactive Activity – 40 mins
•
Cracker Barrel Sessions – 20 mins repeated 3 times
Room Set Up for Delivery
AV Needed for Delivery
Anything else needed? (optional)
3