AMWA Annual Meeting 2024 Speaker Information Form
The American Medical Women's Association Annual Meeting will be held Virtually, March 22- 24, 2024. Please provide all information as you would like presented in our program book and website.
Name (e.g. Jane Doe, MD, MPH; please use suffix box for degrees/fellowships)
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First Name
Last Name
Suffix
Email
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example@example.com
Cell Phone Number
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-
Area Code
Phone Number
Title/Position, Institution (e.g. Associate Professor of Medicine, University of California, San Francisco)
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Your final presentation/panel title
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We will have accommodations for slide presentations. Please let us know any additional technical support you need.
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Please upload a high resolution headshot image.
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Photo Credit Information (if applicable)
Twitter Handle
Instagram Handle
Facebook Handle
LinkedIn Handle
Please download the AMWA Photo release form at bit.ly/re_leaseform and upload a completed version.
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Please download the COI form at bit.ly/speakerCOI2024 form and upload a completed version
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Please upload a 150 word biographical sketch (bio) as a Word document. Your bio will be used on our website and included in our meeting program.
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3-sentence bio for introductions
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For AMWA social media and/or website -- Please share a brief quote on the topic of your presentation that can be used to promote the session.
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For AMWA social media and/or website -- Have you been involved in any publications or projects related to the AMWA Annual Mtg program(s) you're involved in? If so, please include a link below; include an explanation if you believe it will be helpful.
For AMWA social media and/or website -- Please share some key points you plan to address during AMWA Annual Mtg program(s) you're involved in. You could include bullet points and/or any graphics that might set up your talk or engagement in the program(s). If you include a graphic, please accompany with an explanation and/or draft brief caption.
I give AMWA permission to share my presentation video with meeting attendees and members.
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Yes
I give AMWA permission to share any presentation slides with meeting attendees and members.
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Yes
No
I give AMWA permission to use any photos submitted prior to or taken during the conference for meeting promotion.
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Yes
Would you like to share any guidance or words of wisdom to prospective speakers/attendees? (This may be posted on the website or on social media) Please include your name if you would like your name to be shared.
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