Call For Speakers
|
Edit Submission
Call For Speakers
The submission process for the year is over
*
Program:
Professional Development (PD)
Insurance Accounting, Risk Management and Finance (ARF)
Technology (TECH)
Presentation Track:
*
Title:
Presentation Type:
Single Speaker
Multiple Speakers
Panel
*
Session Proposal / Abstract:
(150 word maximum)
*
Learning Objective 1:
(16 word maximum)
*
Learning Objective 2:
(16 word maximum)
*
Learning Objective 3:
(16 word maximum)
Specify Target Audience:
(Functional area, attendee position, size of company, type of company)
List all Insurance companies that are committed to participate in this presentation:
Would you be willing to have your Paper Submission or Session Paper turned into an IASA hosted webinar?
If submission is accepted and used as a session paper for the annual conference, would you be willing to have your session recorded for playback at a later time?:
Were you an Exhibitor or Sponsor at our most recent Annual Conference?
Yes
No
Speaker # 1
Moderator:
Prefix:
Mr.
Mrs.
Ms.
Dr.
*
First:
Middle:
*
Last:
*
Company:
Title:
Address:
Phone:
Mobile:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Fax:
Zip:
Country:
*
EMail:
Previous professional conferences
spoken at:
Speaker # 2
Moderator:
Prefix:
Mr.
Mrs.
Ms.
Dr.
First:
Middle:
Last:
Company:
Title:
Address:
Phone:
Mobile:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Fax:
Zip::
Country:
EMail:
Previous professional conferences
spoken at:
Speaker # 3
Moderator:
Prefix:
Mr.
Mrs.
Ms.
Dr.
First:
Middle:
Last:
Company:
Title:
Address:
Phone:
Mobile:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Fax:
Zip:
Country:
EMail:
Previous professional conferences
spoken at:
Speaker # 4
Moderator:
Prefix:
Mr.
Mrs.
Ms.
Dr.
First:
Middle:
Last:
Company:
Title:
Address:
Phone:
Mobile:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Fax:
Zip:
Country:
EMail:
Previous professional conferences
spoken at:
Speaker # 5
Moderator:
Prefix:
Mr.
Mrs.
Ms.
Dr.
First:
Middle:
Last:
Company:
Title:
Address:
Phone:
Mobile:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Fax:
Zip:
Country:
EMail:
Previous professional conferences
spoken at:
Speaker # 6
Moderator:
Prefix:
Mr.
Mrs.
Ms.
Dr.
First:
Middle:
Last:
Company:
Title:
Address:
Phone:
Mobile:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Fax:
Zip:
Country:
EMail:
Previous professional conferences
spoken at:
Speaker # 7
Moderator:
Prefix:
Mr.
Mrs.
Ms.
Dr.
First:
Middle:
Last:
Company:
Title:
Address:
Phone:
Mobile:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Fax:
Zip:
Country:
EMail:
Previous professional conferences
spoken at:
Speaker # 8
Moderator:
Prefix:
Mr.
Mrs.
Ms.
Dr.
First:
Middle:
Last:
Company:
Title:
Address:
Phone:
Mobile:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Fax:
Zip:
Country:
EMail:
Previous professional conferences
spoken at:
Speaker # 9
Moderator:
Prefix:
Mr.
Mrs.
Ms.
Dr.
First:
Middle:
Last:
Company:
Title:
Address:
Phone:
Mobile:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Fax:
Zip:
Country:
EMail:
Previous professional conferences
spoken at:
Speaker # 10
Moderator:
Prefix:
Mr.
Mrs.
Ms.
Dr.
First:
Middle:
Last:
Company:
Title:
Address:
Phone:
Mobile:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Fax:
Zip:
Country:
EMail:
Previous professional conferences
spoken at:
Submitter Information
Prefix:
Mr.
Mrs.
Ms.
Dr.
First:
Middle:
Last:
Company:
Title:
Address:
Phone:
Mobile:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Fax:
Zip:
Country:
EMail: