Request for Proposals IEA Representative Assembly 2023

Presenter Information

Name*

First Last

Lead Presenter Bio*

Short synopsis of 3-5 sentences including educational background, experience, professional organizations, publications, or career highlights.

Address*

Current mailing address

Street Address City State ZIP Code

Mobile Phone*

Personal Email Address*

Emergency Contact Name*

First Last

Emergency Contact Phone Number*

Housing Needed

Housing will be provided Wednesday, March 8, to presenters who live outside of a 70-mile radius of the Hyatt Regency O’Hare in Rosemont.

Hotel Accommodations*

Room Type*

Name of Roommate*

Arrival Date

Departure Date

How did you hear about this RFP opportunity?*

Do you have a Co-Presenter?*

Co-Presenter Information

Name*

First Last

Co-Presenter Bio

Short synopsis of 3-5 sentences including educational background, experience, professional organizations, publications, or career highlights.

Address*

Street Address City State ZIP Code

Mobile Phone*

Personal Email*

Emergency Contact Name*

Emergency Contact Phone Number*

Hotel Accommodations Required*

We will provide a hotel room for presenters who live outside of a 70-mile radius of the Hyatt Regency O’Hare. The room reservation is typically for the night before the presentation.

Room Type*

Name of Roommate*

Arrival Date*

Departure Date*

IEA Representative Assembly

IEA Representative Assembly