2025 Nominate a WSC Annual Conference Speaker 2025 Annual Conference Speaker Nomination Wisconsin Safety Council 83rd Annual Conference April 14-16, 2025 | Conference Educational Sessions (Tuesday-Wednesday, April 15-16, 2025) Pre-Conf. Professional Development Courses (Monday, April 14, 2025)Complete no later than September 13, 20241) Title of your session presentation to appear in Conference promotional materials:Session Title*Title of your session presentation to appear in Conference promotional materials: 2) Nominated speakerName* First Last Presenter's Title*Company*Address* Street Address City State / Province / Region ZIP / Postal Code Email* Enter Email Confirm Email Cell PhoneWork Phone*Will additional speakers co-present? (limit to total of 3 speakers)NoYesName (Second Presenter) First Last Title (Second Presenter)*Company (Second Presenter)*Address (Second Presenter)* Street Address City State / Province / Region ZIP / Postal Code Email (Second Presenter)* Phone (Second Presenter)*Will another additional speakers co-present? (limit to total of 3 speakers)NoYesName (Third Presenter) First Last Title (Third Presenter)*Company (Third Presenter)*Address (Third Presenter)* Street Address City State / Province / Region ZIP / Postal Code Email (Third Presenter)* Phone (Third Presenter)* 3) Descriptive paragraph of your presentationDescriptive paragraph of your presentation*Brief description of your topic session for our conference brochure (proof carefully before you send): 50-75 words or less please.Session Objectives (briefly list 3-5 student takeaways)*Experience Level:*1 = Fundamental - Geared toward the attendee who is new to safety and has little/no training. Fundamental topics tend to be “how-to” compliance issues like how to develop programs for confined spaces, machine guarding, personal protective equipment, etc. Fundamental sessions tend to be broad overviews and updates of current topics.2 = Intermediate - Geared toward the attendee wo has experience in the field and wants to build on it (4-9 yrs experience). Intermediate sessions offer more in-depth examinations of specific safety and health issues and their solutions. For safety/health personnel, production supervisors, and human resource managers who have experience working with federal, state and internal employer/employee regulations and procedures.3 = Advanced - Geared toward the attendee who is considered a seasoned professional (10+ yrs experience). Advanced sessions address cutting edge topics such as the psychology of safety, bench marking, and culture changes. Advanced sessions are technical in nature and are directed at safety directors, human resource managers, risk managers, certified professionals, industrial hygienists and occupational health nurses. 4) Presentation day, length and category preferenceEducational Courses (Tuesday & Wednesday, April 15-16) Either Day: 1 Hour Either Day: 1.5 Hours Tuesday: 1 Hour Tuesday: 1.5 Hours Wednesday: 1 Hour Wednesday: 1.5 Hours Pre-Conference Courses (Monday, April 14) Full Day (6-8 hrs) 1/2 Day (4 hrs) I will have a demo, hands-on or interactive sessionNoYesIndustry Best Associated With Your Topic (Select 1) Manufacturing Construction/Labor/Utilities Management/Leadership/Culture/Engagement Life Sciences (Biotech, Lab) Transportation/Fleet Technology Regulatory Training Other Tell us where else you've presented and on what topic/subject matter75 words or lessName of Person Completing this Form First Last Name of Person who contacted you to present (if known) First Last Date