2023 WiHPCA Presentation Submission
Presentations for consideration for use at the Annual Conference or monthly webinars. Submissions are reviewed monthly and selected speakers will be contacted on an individual basis.
Name
*
First Name
Last Name
Credentials
Job Title
*
Organization
*
Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Work Number
-
Area Code
Phone Number
Cell Number
*
-
Area Code
Phone Number
Session Title
Session Description and Learning Objectives
Biography
*
Please submit most recent head shot
*
JPG or PNG preferred
Submit
Should be Empty: