LICA Application to Present at a LICA Meeting!

We are looking for LICA members who wish to do a 30-60 minute presentation at a LICA meeting for the purpose of educating and inspiring our members. While it is acceptable to provide your contact information following the presentation, it is not acceptable to use this opportunity to SELL YOUR SERVICES.

Please contact Josephine Rotolo, Program & Education Chair, at This e-mail address is being protected from spambots. You need JavaScript enabled to view it or call (516) 384-9509 with questions

or to submit your application.

Thank you for your cooperation!

Name:

Business name/Organizational affiliation:

Contact Info (Phone/Email/Website):

How many LICA meetings have you attended in the past 12 mos?

Activity Fee paid member?

In order to qualify for this opportunity, you must be a LICA “Activity Fee” paid member.

Go to www.licoachingalliance.com to become an “Activity Fee” paid member for only $75.00 (this also entitles you to all of our member benefits).

What LICA meeting topic stood out most for you?

Are you a coach? If not, please explain your interest in LICA:

Coach Training History:

Member of ICF? For how long?

Current Area of Business Focus:

Additional Business Focus Areas:

Presentation Title:

Why do you want to present to LICA?

Intended Presentation Take-Aways for Presentation participants:

Relevant Life Experiences that you’d like to mention?

Bio/CV/Resume: (Please provide at least one)

THANK YOU!