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SCPS Panellists Submission Form
Use This Form For Our 2025 Spring Seminar
7
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1
Name
*
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Mr.
Ms.
Mrs.
Dr
Professor
Mr.
Mr.
Ms.
Mrs.
Dr
Professor
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First Name
Last Name
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2
Email
*
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example@example.com
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3
Contact Number
*
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Area Code
Phone Number
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4
Hospital
*
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5
Job Title
*
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6
Years Qualified
*
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7
Areas of Interest
*
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(automation, simulation or workforce planning)
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