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CrossState Speaker Proposal Form
Step
1
of
5
20%
Thank you for your interest in presenting at a CrossState Credit Union Association event! Please complete the form below with as much detail as possible. This information will help us evaluate your proposal and ensure a diverse, high-quality program for our attendees. If you would like to submit more than one session for consideration, please submit them separately.
Contact Information
Name
First
Last
Email
Phone
Organization
Job Title
Website
Check All that Apply Based on Your Organization
CrossState Member
Non-Member
CrossState Business Partner
Previous Event Sponsor
Which 2025 Event(s) Are You Interested in Speaking at?
Choose Any that Apply
CrossState Connect Annual Convention
May 20-22 in Bethlehem, PA
Evoke Marketing Conference
July 22 in Hershey, PA
CrossState Drive
September 10-12 in Pittsburgh, PA
CU Reality Check
October 27-29 in Atlantic City, NJ
Click on each name of the event to learn more
Session Information
Session Title
Session Description
Does Your Session Include a Workshop or Panel?
Yes
No
Learning Objectives
List 2–4 clear, actionable takeaways attendees will gain from this session.
Target Audience
Executives
Board Members
Managers
Frontline Staff
Volunteers
Other
Check all that apply
Other:
Industry Focus Area(s)
Financial Education
Marketing
Operations
Compliance
Technology
Leadership Development
Other
Check all that apply
Other:
Presentation History of Proposed Session
Has this session been delivered elsewhere? If yes, specify where and when.
Presenter Information
Name
First
Last
Credentials
Speaker Biography
Provide a short bio (100–150 words)
Upload Presenter Headshot
Drop files here or
Select files
Max. file size: 300 MB.
My Session Has More than One Speaker
Yes
No
Speaker #2 Name
First
Last
Speaker #2 Credentials
Speaker #2 Biography
Provide a short bio (100–150 words)
Upload Presenter #2 Headshot
Drop files here or
Select files
Max. file size: 300 MB.
Add Another Speaker
Yes
No
Speaker #3 Name
First
Last
Speaker #3 Credentials
Speaker #3 Biography
Provide a short bio (100–150 words)
Upload Presenter #3 Headshot
Drop files here or
Select files
Max. file size: 300 MB.
Previous Speaking Experience
List 2–3 examples of past presentations, including event names, dates, and session titles. Please share links to videos, if applicable.
Submission Agreement
By submitting this proposal, I confirm that:
The session content is original and does not infringe on any copyrights.
If selected, I agree to provide all required presentation materials by the stated deadlines.
I will disclose any potential conflicts of interest, including affiliations with companies whose products or services may be referenced during the session.
Signature and Date
Signature
Typed name serves as a signature.
Date
MM slash DD slash YYYY
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