Speaker Data Form - The Institute of Internal Auditors

IIA Logo & Name Blue Small

2013 One World, One Profession, One Destination

Orlando World Center Marriott Resort and Convention Center

July 14 - 17, 2013

Orlando, FL

The Speaker Guidelines Document will assist in preparing you to have a successful session.

Please utilize this template for your presentation slides. To Add Your Logo to the Slide Master, open the View tab on the Ribbon and then click the Slide Master button, found in the Presentation Views Group. The Slide Master opens displaying placeholders for the slide title and body text and a spot titled, “Insert Logo Here.” A thumbnail of each Slide Master as well as the layouts for each Master Slide are shown on the left side of the screen.

(* Required)
PERSONAL DATA
FULL NAME: *
BADGE NAME: *
PROFESSIONAL TITLE:
PROFESSIONAL IIA DESIGNATIONS:
EMAIL: *
COMPANY: *
ADDRESS: *
ADDRESS 2:
CITY:
STATE/PROVINCE:
ZIP/POSTAL CODE: *
COUNTRY: *
PHONE: *
FAX:
MOBILE:
IIA Member *	Yes
	No
IIA MEMBER ID (If Applicable)
*ASSISTANT CONTACT INFORMATION:*
NAME:
EMAIL:
PHONE:

SESSION DATA
SESSION TITLE:
SESSION DATE (MM / DD / YY)
(Session Start time and End time Example: If you arrive at 11 in the morning and depart at 2 in the afternoon then enter Start time: 11:00AM End time 02:00PM.)
SESSION START TIME (_ _:_ _)
SESSION END TIME (_ _:_ _)
LEARNING LEVEL FOR ATTENDEES SESSION 1
(Please select Only One field)
FIELD OF STUDY FOR SESSION TITLE 1:

SECOND SESSION TITLE: (if applicable)
SESSION DATE (MM / DD / YY)
(Session Start time and End time Example: If you arrive at 11 in the morning and depart at 2 in the afternoon then enter Start time: 11:00AM End time 02:00PM.)
SESSION START TIME: (_ _:_ _)
SESSION END TIME (_ _:_ _)
LEARNING LEVEL FOR ATTENDEES SESSION 2
(Please select Only One field:)
FIELD OF STUDY FOR SESSION TITLE 2:

*Presentations-Speaker will:*
I agree to conduct a session entitled
(the “Presentation”). I agree to conduct the Presentation on the above listed date and time; unless otherwise notified by the International Conference Manager.

Unless otherwise agreed by The Institute of Internal Auditors, Inc. (“The IIA”), in writing, I will personally perform the services specified herein. I must immediately notify The IIA’s International Conference Manager in the event that I may breach this agreement.
I agree to comply with all conference-related deadlines provided to me by The IIA, including but not limited to deadlines for submission of biographical data, presentation tiles, presentation descriptions (abstractions), A/V requests, travel schedules, and etc.
I agree that I will not engage in any type of promotion, marketing, or selling of any product or service immediately before, during, and immediately after the Presentation. I further agree that during the conference that I will not make any comments that may negatively impact the brand or reputation of The IIA.
I agree to utilize the PowerPoint template and logo provided by The IIA for all PowerPoint presentations, if acceptable by my organization, made in connection with this agreement. I agree that the PowerPoint template and logo provide by The IIA may only be used with The IIA’s written approval. I further agree that The IIA may provide my PowerPoint to conference attendees and all those associated with the conference prior to and up to ninety (90) days after the conference.
The IIA agrees that I hold exclusive copyright ownership of the Presentation. I hereby grant The IIA a royalty-free, paid-up, license to use the Presentation, without limitation. The IIA will: (i) only publish and use the Presentation in entirety and without modification (save for any non-substantive formatting edits such as punctuation, grammar, etc.); (ii) include at all times an attribution to me and the original author of the Presentation.
I agree to indemnify and hold The IIA and its directors, officers, employees, agents, and members harmless with respect to any and all third-party claims (including any losses, damages, liabilities, judgments, or settlements arising there from, including reasonable attorney's fees, costs, and other expenses incurred by the other party) (i) alleging that the portions of the Presentation violates any third-party intellectual property rights, or (ii) based on the willful misconduct, negligent acts, error or omissions. This Section shall survive any expiration or termination of this agreement.
The IIA may photograph me; and The IIA may forever use my name and photographs in connection with The IIA’s advertising and publicity whether it is directly or indirectly.
I have reviewed the Speaker Agreement above and will support The Institute of Internal Auditors commitment to present the highest quality business conference, with the most current and effective auditing approaches and solutions, to its audience. By my signature (or by typing in my name). I understand and agree to the above.
Speaker:
Date: