2026 NSA Winter Conference Seminar Submission Form

Application Submitter First and Last Name

First

Last

First and last name of individual submitting this form. This does not have to match the speaker information.

Submitter Title

Submitter Email

Submitter Organization/Agency

Submitter Phone Number

Are you a member of the National Sheriffs' Association?

Yes
No

Title of Seminar

Seminar Description

Learning Objectives

Please Select a Track:

You can learn more about seminar tracks at nsawinter.org/seminarspeaker/

Speaker 1 First Name

Speaker 1 Title

Speaker 1 Email

Is Speaker 1 a member of the National Sheriffs' Association?

Yes
No

Speaker 1 Last Name

Speaker 1 Organization

Speaker 1 Phone

Speaker 2 First Name

Speaker 2 Title

Speaker 2 Email

Is Speaker 2 a member of the National Sheriffs' Association?

Yes
No

Speaker 2 Last Name

Speaker 2 Organization

Speaker 2 Phone

Please List Additional Speakers (if applicable)

Presentation Date Preference

Note these are just preferences, this does not guarantee a date. *Tuesday may or may not have seminars, we will notify speakers of the demand once selections have been made.

Upload Files (Bios, Headshots, Speaker Agreement Forms)

Click or drag files to this area to upload. You can upload up to 15 files.

The speaker agreement can be found on the NSA Winter Conference website under "Speaker."

Communication Point of Contact

This person will recieve all communications from NSA including acceptance/ denial email, and all future conference communications.

Point of Contact Email

Point of Contact Phone Number

I confirm that I have submitted all necessary materials before the ending date of August 15, 2025

Yes