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 6 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.