IHS Webinar Speaker Proposal Form

Webinar Speaker Proposal Form

Thank you for your interest in presenting! IHS staff will contact you should your proposal be a fit for the IHS webinar program. Please note that being an IHS webinar speaker is a volunteer opportunity. In addition to committing to the presentation of a live webinar, chosen speakers are also required to run through the entirety of their presentation twice before the live presentation.
Name*

First NameLast Name
Credentials (BC-HIS, AuD, etc.)
Job Title*
Company*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Company Website
Are you an IHS member?*

YesNo
Speaker Biography*

Please provide a 3-5 sentence professional biography.0/200
Presentation Title*
Presentation Abstract*
Learning Objectives (should complete the sentence "At the end of this presentation, attendees will be able to...") - Give at least 3.*
Presentation Target Audience*
General Category (Select all that apply)*

ClinicalTechnologyMarketingPractice ManagementCommunicationBusiness DevelopmentOther
If other, please describe.
Why is this topic important?*
Topic Area ( Check all that apply)*

Hearing ScienceAudiometric AssessmentAudiometric InterpretationPatient Information and HistoryHearing Instrument Systems and TechnologySelecting Amplification SystemsInstrument Fitting TechniquesCounselingOffice/Business ManagementSanitation ProtocolsEar Mold ImpressionsValidation/VerificationProfessional CommunicationNon-Amplification Hearing SystemsFederal RegulationPost Fitting Patient CareEthics/Legal ConsiderationsMarketing and SalesTroubleshooting/Repair/MaintenanceOther
If other, please describe.
Please refer to the IHS Approved Categories of Instruction.
Please verify that you are human*
Should be Empty: