Webinar Information Form For Speakers & Presenters

Instructions

Speakers/Presenters: Please complete all sections of this form.
Attach a high-resolution headshot photo.
Ensure learning objectives align with Bloom’s Taxonomy, using the reference guide.
Click Submit at the bottom of this form.

If you need assistance please feel free to contact

Content Assistance: Larry Earl learl@naohp.com or the
Technical support: admin@naohp.com

Bloom’s Taxonomy Reference (for crafting objectives)

Remember: Retrieve or recall information
Explain: Interpret, clarify, elaborate on ideas or concepts
Apply: Use knowledge in a new situation
Analyze: Break down information, identify relationships
Evaluate: Make judgments, assess value
Create: Generate new products or ways of viewing things

Presenter Name(Required)

Prefix First Last Suffix

Email(Required)

Phone(Required)

Title of Talk(Required)

Bio(Required)

maximum of 150 words

Headshot Photo

Max. file size: 1 GB.

Webinar Details

Talk Topic(Required)

This is the main topic of the workshop, not the title. (ex: "Webdesign Mistakes That Hinder Your Business" would be the title. The topic would be "website needs"

Description of Talk(Required)

brief, suitable for marketing purposes

Learning Objectives

Minimum of Three, Aligned to Bloom's Taxonomy

1st Learning Objective(Required)

Bloom's Level (Remember, Explain, Apply, Analyze, Evaluate, Create)

2nd Learning Objective(Required)

Bloom's Level (Remember, Explain, Apply, Analyze, Evaluate, Create)

3rd Learning Objective(Required)

Bloom's Level (Remember, Explain, Apply, Analyze, Evaluate, Create)

What Audience Will Get the Most Out Of This Talk(Required)

Additional Notes/Requests from Speaker:(Required)

Please add any CTA's you would like associated with your talk ot this area.

This field is hidden when viewing the form

Staff Member Completing Entry:

First Last

Webinar Information Form For Speakers & Presenters

Instructions

Bloom’s Taxonomy Reference (for crafting objectives)

Webinar Details

Learning Objectives

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