2025 TAPA Conference Speaker Application
Title of Proposal
*
Personal Information
Name
*
First Name
Last Name
Email
*
Please note: Some workplace firewalls have blocked our emails. Check your spam folders or use a personal email.
Phone Number
Please enter a valid phone number.
Employer/Company/University Affiliation
Academic Title if applicable
Course Objectives
Minimum of three objectives
Objective #1
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Objective #2
*
Objective #3
*
Objective #4
Objective #5
Short description of the proposal; this will be used in the conference program/brochure.
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0/150
References/Resources used (Guidelines, Articles, Pubmed, etc):
*
Briefly share with us why this topic is important for the PA community.
*
0/150
Disclosure form
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CV or Resume (PDF preferred):
*
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Short Bio (PDF preferred):
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Headshot (jpg or png preferred):
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Powerpoint presentation (Optional; This will be requested at a later date.)
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Powerpoint Slidedeck (.pptx) or Google Slides preferred
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Participant Handout in PDF (Optional; This will be requested at a later date.)
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This could be a PDF version of the slidedeck
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Speaker Experience
None, New to Stage
Yes, Local (ie: Local Institution, Educational setting, Grand Rounds)
Yes, State (TAPA or other state conference)
Yes, National (AAPA or other national organization)
In-person presentation: Option 1
Please Select
Thursday, September 11
Friday, September 12
Saturday, September 13
Sunday, September 14
In-person presentation: Option 2
Please Select
Thursday, September 11
Friday, September 12
Saturday, September 13
Sunday, September 14
Pre-recorded options will be offered on a case-by-case basis.
Share with us something unique about YOU, such as a talent, passion, interest, or hobby that colors your role as a PA.
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