UAND Annual Meeting Speaker Application

Dates: March 18-19, 2027
Location: Miller Campus at Salt Lake Community College, Sandy, UT

Presenter Name

First NameLast Name

Credentials

e.g. MHA, RDN, CD

Email Address

example@example.com

Presentation Title

Please select the topic(s) most relevant to your presentation:

Learning Objectives

Submit 2-3 Performance Indicators that you feel best fit the scope of your presentation. (Select green "+" to add more fields or red "-" to delete fields, as necessary.)

Review the CDR Essential Practice Competencies to find approved Performance Indicators.

Ex: 6.3.1 Accurately and ethically shares research findings with a variety of audiences.

Enter Performance Indicators below:

What experience do you have related to your presentation topic?

How does your presentation relate to the theme for this year's annual meeting?

What do you expect participants to take away from your presentation?

What is your scheduling preference?

What AV equipment, props, or other needs do you require?

Would you be interested in being a keynote speaker?

Preferred compensation

Do you have a sponsor?

Sponsor Organization

Sponsor Contact

First NameLast Name

Sponsor Email Address

example@example.com

Compensation

Selected speakers will receive either a $250 honorarium for a breakout session or a $300 honorarium for a general session, unless sponsored by a partnering organization. The total session honorarium will be split in the case of multiple speakers. Conference registration is NOT included; speakers who wish to attend the full conference must still register.

Please note, you must submit a Resume/CV and Conflict of Interest form (if applicable) for EACH presenter or panelist in your proposed session.

Do you have any conflicts of interest?

A statement of disclosure is required. You may submit your own disclosure or you may use the CDR template.

Conflict of Interest Disclosure

Browse Files

Resume/Curriculum Vitae

Browse Files

Please note, due to updated CDR requirements, all speakers selected to present at the Annual Meeting will need to submit a bibliography of supporting materials for their presentation. If selected, this bibliography must be submitted within two weeks of selection.