Speaker Travel & AV Summary Form
Speaking Event
If Other, Please List Event: 
Speaker Name: 
Speaker Organization:  
Title:  
Address:  
City, State, Zip:  
Email Address:  
Cell Phone:   
Work Phone:   
Are you traveling by:

TRAVEL ARRANGEMENTS
Arrival Date & Time:
v
:
Arrival Airline:  
Arrival Flight #:  
Departure Date & Time:
v
:
Departure Airline:  
Departure Flight #: 
We recommend a taxi to/from airport and hotel.
Sleeping Room Needs:

NOTE: Hotel room and tax will be charged to League's master account with the hotel unless otherwise noted on your speaker agreement. Please expense other related incidentals. Hotel confirmation number provided closer to the event date.
If yes, please provide:
Arrival Date:
v
:
Departure Date:
v
:
NOTE: All speakers will have a standard double queen room, unless otherwise noted in your speaker agreement.
Handicap Accessible room required? 
Audio/Visual Requirements:


Additional Set-up & A/V Needs:


Other AV Needs:  
NOTE: If you require a special set up, please indicate in the field below. A screen and cocktail table at the front of the room for speaker's materials will be provided, unless otherwise requested. Speaker agrees to arrive at meeting room at least one-hour prior to start of session for room set-up and A/V check.
Other Room Set Up:  
Presentation:

To complete your speaker agreement, an electronic version of your presentation must be sent to Cornerstone prior to your presentation.

If you are unable to provide the copy no later than 3 business weeks prior to speaking, you are responsible for bringing 100 printed copies to your session at your own expense.

Required elements of engagement:
In order for Cornerstone to provide Continuing Education Credits to our attendees, please include at least one element of audience engagement in your presentation for each hour of presentation (example: group discussion; polling question(s); instructor-posed question with time for participant reflection; case study, role play, etc.)
 

Handouts:
Cornerstone will no longer provide printed handouts in order to help our events go green. Attendees will be able to access your presentation online prior to the conference and 30 days after the conference. If the event has an event app, attendees will also be able to access your presentation during the event using the app.