2024 LFUCG Opioid Abatement Commision CALL FOR PRESENTATIONS
Presenter Contact Info
In order to be selected to present this application must be complete and submitted in a timely manner. Selections will be chosen based on presentation objectives and content. Submission of this application does not guarantee that you will be selected for presentation.
Name (Primary Presenter)
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First Name
Last Name
Email
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example@example.com
Phone Number
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-
Area Code
Phone Number
Co-Presenter
First Name
Last Name
Email
example@example.com
Presentation Info
Presentation Title
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Presentation Summary
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Length of Presentation
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Please Select
15 minutes
20 minutes
Learning Objective
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Learning Objective 2
Learning Objective 3
Presentation Date Options
Choose your Date Preferences. 2024 Presentations will be during the Opioid Abatement Commission Meetings which occur monthly from 10-12pm in the Council Chambers of the Government Center (200 East Main St). September 27th (Special Meeting), October 11th, November 8th, and December 13th.
Date (1st choice)
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Month
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Day
Year
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Date (2nd Choice)
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Month
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Day
Year
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Date (3rd Choice)
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Month
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Day
Year
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Presentation (Powerpoint etc)/Bio
Attachment: Presentation
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Attachment: Bio/Organization Overview
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Optional -- Attachment: Presentation Examples (Video Clips)
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Comments and or Concerns:
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Acknowledgements
I affirm that I own or otherwise have the right to use the proposed content. I further affirm that I have the right to give consent to present the content. By submitting this form, I grant permission to share my presentation.
I understand that this meeting is live streamed and recorded during my presentation.
Signature
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