Share your knowledge and experience with other insurance professionals. We are currently seeking presentations for the 2009 FIFEC Conference (June 10-12, 2009). All speaker presentations must be at least 100 minutes in length to comply with the time requirement for Continuing Education (CEU) credits. |
Presentation Title * |
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Topic Area of Presentation * |
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Brief Description of your Presentation (1 paragraph) * |
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Audio/Visual Requests (skip, if none) |
| LCD Projector(s) |
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| Wireless mic(s) |
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| Table Microphone(s) |
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| Screen(s) |
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| Flip Chart(s) |
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| Podium(s) |
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| Laptop Computer(s) |
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| VCR(s) |
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| Overhead Projector(s) |
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| Other (describe in detail and list amount required) |
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Preferred Speaking Slot - time (cannot be guaranteed) * |
AM
PM
either one
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Preferred Speaking Slot - day
(cannot be guaranteed)* |
Wednesday
Thursday
Friday
Any
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We will confirm receipt of your proposal via e-mail. The FIFEC speakers committee will contact you if your presentation is a good fit for the 2009 conference. In the event your presentation is not selected, we will keep it on file for future speaking opportunities. |
| For questions, please contact the FIFEC speakers committee by e-mail at: speakers@FIFEC.org |
Deadline: In addition to THIS Call For Presentation form, all speakers are required to provide us, in Word Format by E-mail transmission ONLY:
- two page course outline for a 100 minute presentation
- speaker biography and
- a Power Point Presentation (if part of your presentation - PDF format acceptable)
on or before January 15, 2009. |
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REQUIRED INFORMATION OF THE DEPARTMENT OF FINANCIAL SERVICES TO BE A CERTIFIED INSTRUCTOR |
Speaker First Name: * |
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Speaker Middle Name: |
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Speaker Last Name: * |
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Speaker Title: * |
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Social Security Number: * |
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Date of Birth (mm/dd/yyyy): * |
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Business Address: * |
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Mailing Address (if different from above): * |
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E-mail Address: * |
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Phone: * |
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Cell Phone: |
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Fax: |
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Will there be an additional presenter joining you? If "yes", complete the below information *
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Yes
No
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Co-presenter First Name * |
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Co-presenter Middle Name |
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Co-presenter Last Name * |
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SPEAKER QUALIFICATION INFORMATION |
Are you an employee of the Florida Department of Financial Services (FLDFS)? *
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Yes
No
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Has an administrative action ever been taken against you for violation of Statutes or Rules in Florida or any other state? *
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Yes
No
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Have you ever been convicted or plead nolo contendere to a felony? *
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Yes
No
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Have you been certified by the Florida Department of Financial Services (FLDFS)? *
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Yes
No
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Do you have at least 5 years of substantially full-time working experience in the last 10 years in the area of Property and Casualty Insurance? *
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Yes
No
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Do you have at least 40 hours of teaching experience in the last 2 years? *
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Yes
No
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Do you have a professional designation from a recognized industry association in a Property and Casualty insurance subject? *
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Yes
No
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Do you have a Bachelor’s degree from a four-year accredited institution of higher learning with at least 50% of course work in insurance? *
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Yes
No
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Have you completed at least a 40 hour course on training techniques or methods of instructing adults as certified by a nationally-recognized course provider whose purpose is to review, evaluate and rate such courses? *
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Yes
No
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ONCE THIS FORM HAS BEEN COMPLETED IN ITS ENTIRETY, HIT SUBMIT. |
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