Presenter Submission Form Name(Required) First Last Company Name(Required) Please Select Your Status(Required)I am a PCA Contractor MemberI am a PCA Industry PartnerNone of the abovePhone(Required)Email(Required) Website(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Presenter Bio(Required)Upload Your Headshot(Required)Max. file size: 5 MB.Industry Segment Target(Required)Check all that apply Residential Commercial Industrial PCA Women in Paint PCA en Español Craftsman All Painting Contractors Stage of Business Growth Target(Required) Stage 1 of growth (businesses grossing under $500K each year) Stage 2 of growth (businesses grossing between $500K and $1MM) Stage 3 of growth (businesses grossing between $1MM-$5MM) Stage 4 of growth (businesses grossing over $5MM) Please select the event(s) you'd like to present at:(Required) PCA en Español PCA Women in Paint Conference PCA Commercial Contractors Conference PCA Residential Conference EXPO 2025 Presentation Title(Required) Presentation Description(Required)Three Main Learning Objectives(Required)Have You Presented for PCA in The Past?(Required) Yes No If Yes, When/Where?(Required) Are you fluent in Spanish?(Required) Yes No Are you able and willing to present this material in Spanish?(Required) Yes No Would you be interested in writing a guest article for APC Magazine?(Required)YesNoRead more about APC MagazinePlease agree to all of the following standards:(Required) Delivery of the course, as approved by PCA Education, without disproportionate company/product/service endorsement, marketing, or bias. Accuracy of all presentation materials and information. Conciseness of presentation-timing to fit parameters of course schedule. Limitation of company logos, product name, and/or branding. Distribution of information and handouts solely with intent to reinforce the learning objectives, Creative teaching techniques and devices appropriate for learning objectives and learning styles of attendees. Refraining from requiring attendees to submit contact information. Consistent and optimistic representation of PCA and all of its representatives, materials, and education in presenter's verbiage, conduct, and content. Agree to submit all presentation information, materials and delivery specifications prior to any events if required by committee chair. Media Release Consent(Required) I AgreeI grant permission to utilize my appearance in connection with the events in any and all manner and media indefinitely. I authorize the capturing of photographs and recordings (on film, digital, video, tape, or otherwise); to be edited at the discretion of PCA; and to use such recordings and photographs in any manner or media. I also grant permission to use my name, likeness, or voice in connection with the Production. I understand and acknowledge that PCA owns all rights to the media recorded on this project. Δ
