Form Updated 8/28/2018
CONFERENCE SPEAKER/PRESENTATION REQUEST FORM
Name of Company:
Address:
City, State, Zip:
Phone: _______ Email:
Contact Person/Presenter:
Working Session Title:
Topic Synopsis (3-4 sentences describing the presentation and the targeted audience):
Submission Date:
Ple
ase select the CCAP Conference(s) in which you are interested:
Spring Conference in March -- Please submit ideas by December 1
County Administration Conference in June -- Please submit ideas by January 15
Solicitor’s Conference in May -- Please submit ideas by December 15
Annual Conference in August -- Please submit ideas by March 1
Fall Conference in November -- Please submit ideas by August 1
CCAP r
eceives numerous speaker/topic requests throughout the year. CCAP cannot include every request
received, but each request will be given equal consideration. The CCAP staff meets several months prior to
each scheduled conference, and selects topics and speakers based on member needs and prevalent issues. If
the topic is chosen, CCAP staff will contact you following the review, but due to the volume of requests CCAP
is unable to contact individuals submitting topics not being used. Topics not selected for a particular
conference will be kept on file for one (1) year from the time delivered to CCAP and will be reviewed at each
conference planning meeting held during that time period. CCAP reserves the right to alter topic content
and/or add additional speakers and workshop agenda items to a suggested presentation.
MAIL O
R EMAIL THE COMPLETED FORM TO:
CCAP
Attn: Karen Sweigard, Director of Meetings and Education
PO Box 60769
Harrisburg, PA 17106-0769
(717) 736-4735
ksweigard@pacounties.org
