|
Name:* |
|
|
Email
Address:* |
|
|
Job
Title: |
|
|
Company:* |
|
|
Address: |
|
|
City/State/Zip: |
|
|
Phone
Number:* |
|
|
Green Building Project Experience: |
|
| What is your primary Topic of discussion? |
|
| If other, please describe: |
|
Can you speak on any of these advanced topics?
(check all that apply) |
Benefits of Sustainable Design
Cost Effective Green Design Strategies
Design-Build Green Solutions
Dynamic Governance Advanced Training
Emerging Green Builders (EGB)
Green Impact on Indiana Real Estate
Green Jobs Movement
Greening College/University Campuses
Integrated Sustainable Design Approach
Introduction to Sustainability/Green Building
Introduction to USGBC & LEED
LEED - AP Exam
LEED - Documentation Process
LEED - Existing Buildings and Energy Audits
LEED - Healthcare
LEED - Rating Systems
Low Impact Site Design
Social Equity & Diversity
Sustainable Home Improvement Basics
Other?
|
| If other, please describe: |
|
Credentials:
(check all that apply) |
LEED
AP
USGBC
Member
Architect / Engineer
Green
Professional
Product Representative
Have
spoken before on this/these
projects?
|
Education
/
Degrees / Certifications:
(list schools, dates, degree names,
and
please do not abbreviate) |
|
|
Where
are you
willing to travel?* |
Anywhere
Southeast
Branch
North Central Branch
South Central Branch
|
|
Preferred
Audience
Size?
|
Less
than 20 people
20-50 people
50-100 people
100+ people
Depends
on which topic is being presented
|
Which
companies/organizations, if any,
have you presented these topic(s) to
in the past? |
|
|
|