Please fill out the form below with your webinar and contact information. If you have questions, please contact the Beta Nu Delta Office at secretariat@betanudelta.com or 0926 555 444.

Webinars are 60 minutes in length. The preferred time is 1-2 p.m.. Presenters including at least 15 minutes for Q&A.

Promotion for webinars begins approximately 30 days prior to the webinar.

Beta Nu Delta recommends having one presenter for a webinar. If there will be multiple speakers presenting on the webinar, all additional speakers must fill out this form.

First Name *

Last Name *

Professional Title *

Organization *

Email Address *

Phone *

Organization Website

Webinar title *

Preferred date(s) of webinar: *

Desired time of webinar: *

Presenter bio (type in a box or attach the document below)

Attach presenter bio (optional)

Upload headshot in JPG or PNG format

Brief session overview (300 words or less) *

Please list three learning objectives for participants: *

1 ) During my presentation, I agree that I will not promote my services or my company. I agree to present the session as it is submitted within this form.

1) *

I agree

2 ) I agree to submit my PowerPoint presentation containing no more than 20 slides on the required Beta Nu Delta branded slide template to Beta Nu Delta at least two weeks in advance of the scheduled program. (The template will be provided by email upon receipt of this agreement.)

2) *

I agree

3 ) I agree to participate in a technical run through approximately one to two weeks prior to the scheduled webinar.

3) *

I agree

4 ) I warrant and represent that, to the best of my knowledge, nothing in my presentation violates any proprietary or personal rights of others (including, without limitation, any copyright or privacy rights), is factually accurate, and contains nothing libelous or otherwise unlawful.

4) *

I agree

5 ) I warrant and represent that my presentation is my own original work, that I have the authority to enter into this agreement, and that I am the sole copyright holder or that I have obtained all necessary permissions or licenses from any persons or organizations whose material is included or used in my presentation.

5) *

I agree

6 ) I give my permission for Beta Nu Delta to:

1. Use my name and/or image in photos, video, internet transmission or other media;

2. Create and use teaser or promotional information from my presentation for publicity of webinar;

3. Record the webinar;

4. Broadcast the webinar on social media, including but not limited to Facebook Live, as well as add the webinar to Beta Nu Delta's Learning Center for future viewing;

5. Distribute the webinar and/or PowerPoint presentation to Beta Nu Delta members and/or webinar registrants.

6) *

I agree

7 ) I agree that if my presentation includes any personally identifiable data/information in any form (written, audio, visual, video, or other) that could cause a participant or a bystander to be identified, I will do one or both of the following:

1. Before submitting my presentation, I will obtain informed consent, in written or recorded form, from that person (or if a minor, their parent), to use that material for presentation during this conference and in any material distributed where that material appears.

2. Before submitting my presentation, I will "de-identify" (make anonymous) any personal data/information in any form (written, audio, visual, video, or other) that could potentially cause a participant or bystander to be identified. I understand that this may require eliminating, masking, blurring, pixelating, distorting, cropping, or modifying the data in other ways.

7) *

I agree

8 )

I understand that Beta Nu Delta reserves the right to close webinar registration or cancel webinar if deemed necessary.

8) *

I agree