Presentation Submission Form

CSI Fort Worth Chapter meets the second Tuesday of each month. If you would to present to the CSI Fort Worth Chapter, please fill out the form below to be considered for an upcoming meeting.

1. Presentation Title
2. Presentation Description
3. Presentation Learning Objectives: [should require 3 with room for up to 5]
4. Is this presentation registered with the AIA/CES Continuing Education Program YesNo
5. Number of Learning Units (LUs)?
6. Are these units classified as HSW credit? YesNo
7. Does this presentation qualify for GBCI credit YesNo
8. Speaker's Name
9. Speaker's Title
10. Speaker's Company
11. Speaker's Email *
12. Speaker's Phone
13. Speaker's Bio
14. Are you a current member of CSI Fort Worth? YesNo

* Required