Ambassador Post-Presentation Speaker Form
This Form is For Ambassadors Only! Ambassadors please complete this form to let us know you provided a CDCES presentation.
CDCES Ambassador First Name
*
CDCES Ambassador Last Name
*
What was the name of the School/Meeting/Event where you presented?
*
What was the date of the CDCES presentation you provided?
*
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Month
-
Day
Year
Date
What was the format of the presentation?
*
Virtual
In-Person
Hybrid
Who was in the audience?
*
College students
Graduate students
Residents
Health professionals
Other
How many people were in attendance?
Please provide your best estimate if exact number is not know.
Do you have any feedback on the presentation you'd like to share?
Is there any question you'd like an answer to after your presentation?
Provide your contact's name, title, etc., and contact information if you'd like CBDCE staff to send a thank you note.
Thank you for doing a presentation on behalf of CBDCE!
Submit
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