Interested in Becoming a CMI Speaker

Brandi — Wed, 15 Apr 2009 04:22:44 +0000

Speaker Application

First Name*
Last Name*
Address*
City*
State*
ZIP*
Home Phone
Office Phone
Mobile Phone
Email*
Website
CMI Member?
Statement of Faith?
Session Title:*
Learning OutcomesList Measurable Behavioral Objectives or Learning Outcomes.*
OutlineDescribe Session Content (outline).*
AssessmentDescribe how the speaker will assess whether the learners have met the objectives of the session. List 3 examples of pre/post test questions and answers (optional).
AV EquipmentWhat type of AV equipment will be required for your session? Of what you require, what items will you supply for yourself? (laptop, projector, etc)*
ReferencesList at least 3 current (within the last 5 years) references or documentation you have used in preparing this course.*
Curriculum vitaeAttach a curriculum vitae and qualifications for each speaker of each individual session.

Please print this speaker application and mail it in. The board will contact you. Thank you for your interest.

Christian Midwives International