ILA Board/Training Request Form

ILA Board/Training Request Form

NOTE: At this time ILA has suspended all Staff and Board travel until further notice. Only virtual events are being considered at this time.

Chapter Name: *

Request for: (use check box)

Board Member - Virtual Keynote

Board Member - Live Keynote (fees will applly)

Chapter Training - Virtual Training

Chapter Training - Live Training (fees will apply)

Chapter Training: To ensure availablity we recommend 60 day notice for all training. Live training, fees will apply.

Board Member: The ILA Board of Directors are all literacy leaders in their own right. They are available to provide conference keynote addresses and/or conference sessions. ILA Board Members requests must have at least (7) months advance notice of the event.

Contact Information

Name: *

Email *

Phone Number *

Event Requirements

Event Date * +

Start time

End time

Is this a virtual event? (yes or no) *

Event Location (City/State/Country)

Venue Name

Closest Airport

ILA Board Requested

Event Type (check box)

Conference Keynote

Conference Session

Board Member: 1st choice

Board Member: 2nd Choice

Board Member: 3rd Choice

Speaker’s Role at Event

Speaker’s Primary Presentation Topic

ILA Chapter Training Request

Please provide specific topics of training requested: (optional)

Terms of agreement

By checking this box, I confirm that I and my ILA Affiliate have read, understand, and agree to the following:

- Completing this form does not guarantee a speaker for your event.

- Board Member requests must have at least (7) months’ notice of the event.

- All expenses for LIVE events will be paid by the chapter.

- At least 50% of your board should be in attendence for virtual training *

Agree

Submitted By: *

Contact Chapter & Region Services at chapters@reading.org for assistance.