ISPE Webinar Proposal

Thank you for your interest in hosting a webinar. The Society is currently accepting proposals for educational webinars. Any ISPE committee, council, RIG, or SIG seeking to sponsor a webinar must submit the form below. The Education Committee will review each application, and if approved, staff will work with you to schedule the webinar.

Webinar proposals must be submitted a minimum of one month in advance for approval and marketing purposes.

Typical format: 60 minutes total; 45 minutes of presentation and 15 minutes for questions.

1. First and Last Name *This question is required.

2. Email Address *This question is required.

3. Organization (if applicable)

4. Phone Number *This question is required.

5. Webinar Title *This question is required.

6. Brief Description of Webinar (for marketing and registration page) *This question is required.

7. Target Audience; you may select more than one *This question is required.

No target audience restrictions; anyone and everyone is welcome
Industry/Service Providers
Academia
Government/Regulatory
Students

8. Learning Objectives / Key Takeaways *This question is required.

9. Proposed dates and times; state times only in US Eastern Time zone. For scheduling purposes, please provide two time options per date. *This question is required.

Space Cell	First Choice	Second Choice	Third Choice
Date	Date: First Choice	Date: Second Choice	Date: Third Choice
1st time option	1st time option: First Choice	1st time option: Second Choice	1st time option: Third Choice
2nd time option	2nd time option: First Choice	2nd time option: Second Choice	2nd time option: Third Choice

10. Estimated Duration *This question is required.

11. Speaker Name(s), including any credentials that the individual would like listed with their name. *This question is required.

Speaker 1 Name
Speaker 2 Name
Speaker 3 Name
Speaker 4 Name
Speaker 5 Name

12. Speaker Bio(s) (for marketing materials) *This question is required.

Speaker 1 Bio
Speaker 2 Bio
Speaker 3 Bio
Speaker 4 Bio
Speaker 5 Bio

13. Speaker Email(s) for Zoom Webinar invitations, follow-up and tech check coordination *This question is required.

Speaker 1 Email
Speaker 2 Email
Speaker 3 Email
Speaker 4 Email
Speaker 5 Email

14. Upload speaker's headshots. Please name the file the speaker's name. Up to 10 images can be uploaded, and the accepted formats are png, gif, jpg, jpeg, doc, xls, docx, xlsx, pdf, txt, mov, mp3, mp4. The maximum file size is 2 MB. If you have technical issues, please contact info@pharmacoepi.org. *This question is required.

File: {{filename}} delete

15. Preferred registration launch date (when the event should be made public) MM/DD/YYYY *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

16. Will there be a Q&A or polling during the sessions? *This question is required.

17. Any special requests or accessibility needs?

18. Should attendees receive a follow-up email? *This question is required.

19. Is a recording allowed for later distribution? *This question is required.

20. Are presentation slides allowed for later distribution? *This question is required.

Please enter an 'other' value for this selection.