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REQUEST FOR PROPOSALS for PROFESSIONAL CONFERENCE SPEAKERS2017 VIRGINIA SHRM STATE CONFERENCE

March 12 – 15, 2017

PROPOSAL INFORMATION SHEETPlease complete this proposal information sheet and submit a signed copy with your proposal package. Your proposal package should include the information requested in Section V, items B through G.

Proposed Presenter Information

Name_________________________________________________________________________________

Title (if applicable)_______________________________________________________________________

Company or Organization (if applicable)_____________________________________________________

Email Address__________________________________________________________________________

Mailing Address_________________________________________________________________________

City_____________________________________ State__________________ ZIP___________________

Is this home work other (please specify)__________________________________________

Daytime phone number________________________ Mobile phone number_______________________

Proposal Preparer InformationIf this proposal is prepared by someone other than the proposed presenter, please provide his / her contact information below. Otherwise, leave this section blank.

Preparer Name_________________________________________________________________________

Email Address__________________________________________________________________________

Daytime phone number________________________ Mobile phone number_______________________

Statement of UnderstandingBy signing this proposal information sheet, I acknowledge that if my proposal is accepted by the Virginia SHRM State Conference Program Committee, I will provide professional conference speaking services pro bono publico or as otherwise specified in this proposal for the good of the Human Resources Management profession and in support of the goals and objectives of the Conference. I agree to indemnify and hold VIRGINIA SHRM STATE COUNCIL harmless from any liability and agree to refrain from using any portion of my presentation as a platform to promote products or services.

___________________________________________ _________________________________________ Signature of Proposed Presenter Date

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