ࡱ> %` VbjbjNN ,,D222l:(:::egggggg$hPji"  de e F g j*2pT 0:oV6gg&:vT DH:::: d::::d22 To be considered as a speaker for the Pet Care Services Association, please complete this form in full. Submission requirements are on the final page. CONTACT INFORMATION Name:Title:Organization:Mailing Address:City:State:Zip:Phone:Cell:Fax:E-mail Address:Web Site:PCSA Member?Co-Presenters: Please list all presenters and provide all bio information related to any additional speakers.ABOUT YOU In addition to your presentation and bio information, please complete the following information. 1. How long have you been in the pet services field? (in years)  FORMTEXT      2. If not in the pet services field, please list field and length of time in your current field. (in years)  FORMTEXT      3. List the 3 most recent presentations you have given (title, audience, location, date) that apply to this presentation.  FORMTEXT      4. List 2 references of professionals who have seen the presentations listed in item #3. Include name, title, organization, phone, and email.  FORMTEXT      5. List any local professional associations of which you are a current member.  FORMTEXT       I am willing for Pet Care Services Association to database this RFP so that it is available for meetings and events in the future. FORMCHECKBOX  Yes  FORMCHECKBOX  No ABOUT YOUR PRESENTATION All presentations are 90 minutes long and must include an interactive portion (such as a panel discussion, moderated event or PowerPoint presentation). Seminar Type Mark the session that applies for this RFP only. If you would like to submit more than one, please do so in subsequent RFPs.  FORMCHECKBOX  Business Discipline: examples include, but are not limited to: Human Resources, Marketing, Financial Management, Sales, etc.  FORMCHECKBOX  Leadership Development: examples include, but are not limited to: Motivating Employees, Strategic Planning, etc.  FORMCHECKBOX  Facility Management: examples include, but are not limited to: Expanding/Remodeling a Facility, Grooming, Training, etc.  FORMCHECKBOX  Staff Training: examples include, but are not limited to: Pet Health, Pet First Aid, Safety, Sanitation, Bathing/Grooming, Customer Service, Animal Behavior, etc. List your presentation title and 3 major learning objectives. title:  FORMTEXT        FORMTEXT        FORMTEXT       Describe how your presentation supports the professional development of those in the pet services industry. Describe how your presentation addresses the special needs of Pet Services Facility owners, operators, managers and staff. MARKETING YOUR PRESENTATION To help the chapter effectively market your presentation, the following information would be extremely helpful. We may ask your participation in our online community or podcasts to further market the presentation. A full resume. A one-paragraph bio. In 75 words or less, describe your presentation, including title and focus. A video or DVD of your presentation. (optional) SUBMISSION Please complete this form in its entirety using Microsoft Word. Please do not submit as a PDF or other word processing document. Required This fully completed form. Full resume. One paragraph bio (can be inserted under Marketing Your Presentation, item #2). One paragraph description of presentation (can be inserted under Marketing Your Presentation, item #3). Include a digital photograph (high res, head and shoulder, color, at least 300 pixels wide). Optional A video or DVD of your presentation. Please return all materials via email only. The subject line must read PCSA EVENTS RFP. Send materials to John Cooke, Pet Care Services Association's Director of Events, at  HYPERLINK "mailto:john@petcareservices.org" john@petcareservices.org. Upon receipt, your submission will be acknowledged and forwarded to Pet Care Services Associations Conventions and Events Committee. 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If your proposal is accepted, Pet Care Services Association will request a Speaker Commitment Form along with providing a schedule of deliverables. Thank you for your interest in presenting at future Pet Care Services Association events. Pet Care Services Association 1702 E. Pikes Peak Avenue Colorado Springs, CO 80909 Voice: 719-667-1600, ext. 11 Fax: 719-667-0116  HYPERLINK "mailto:john@petcareservices.org" john@petcareservices.org HYPERLINK "http://www.abka.com/"http://www.petcareservices.org/     Pet Care Services Association Speaker Request for Proposals Form Pet Care Services Association Speaker RFP Form  PAGE 4 of  NUMPAGES 4 eUfUiUwUxUyUUUUUUUUUUﴝhQ6Q5jhm39h-J>*B* CJOJQJU^JaJph,hm39h-J>*B* CJOJQJ^JaJph-hm39h6N0JB* CJOJQJ^JaJph;jhm39h6N>*B* CJOJQJU^JaJph,hm39h6N>*B* CJOJQJ^JaJph5jhm39h6N>*B* CJOJQJU^JaJphhm39CJOJQJ^JaJ#hm39hm39:CJOJQJ^JaJ hm39h-JCJOJQJ^JaJUUUVVVV V V VVVVVV0VUVVVWVƯƘycOB>h]h8h]OJQJ^J&h=Wh]5CJ$OJQJ\^JaJ$*h=Wh]5@(CJ$OJQJ\^JaJ$$jh=Wh]@(UmHnHuhS-"jhS-"U,hm39h-J>*B* CJOJQJ^JaJph-hm39hGV0JB* CJOJQJ^JaJph5jhm39h-J>*B* CJOJQJU^JaJph;jhm39h&>*B* CJOJQJU^JaJphUVVVWVVVVV  !$gd8gdPWWVtVVVVVVVVVVVVVVVVVVűŚűűŚʼnj,hm39h-J>*B* CJOJQJ^JaJphhS-"h] 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