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    SPEAKER PROPOSAL FORM

    Due: September 30th, 2026

     

  • The Puerto Rico Society for Histotechnology is a non-for-Profit organization whose main purpose is to provide an interchange of ideas pertinent to Histotechnology; to advance professional growth, standards, knowledge and performance in Histotechnology for its members through continuing and formal education programs; and to create mutual understanding and cooperation between PRSH and other allied professions.

  • Speaker Information

  • Are you an international speaker? (Speakers outside of the United States and their territories). All international speakers MUST have a VISA to enter the United States and their territories.*
  • If "Yes", Do you have a US VISA to enter the United States of America and its territories?
  •  -
  • If this is a cell phone, Do we have your permission to text you any pertinent information about the event?
  • Are you a healthcare professional (MD, Laboratory Technologist/Technician)? (all healthcare professionals MUST submit a copy of current professional license or certification) This is a requirement by the Puerto Rico Board of Histotechnicians and Histotechlogists.*

  • Presentation Type

    All presentations for the symposium will be 60 minutes in duration.
  • Workshop/Seminar Categories: (Indicate major categories only).

  • Workshop Instruction Level (Note: A combination of two levels is acceptable!) *
  • Reimbursement Needed:*

  • Program Information:

  • Contact hours are approved by the Examination Board of Histotechnicians and Histotechnologist of Puerto Rico and the Board of Clinical Laboratory Personnel of Florida, USA. The number of contact hours are given by the number of hours instruction takes place. This includes time for lecture, wet workshop instruction and practice, case studies, focus group, panel discussion, and a question and answer period. Additional format may be acceptable.

  • Audience

    Who is the appropriate audience for your presentation? (Check all that apply)

  • Methods of Instruction

    (Check all that apply)

  • Prefer Time for Presentaion

    (Please select two choices)
  • Slot Choice # 1*
  • Slot Choice #2*

  • Licensure/Certification/Photo

  • Please attach your most recent CV, current professional licensure or certification for credits of continuing education approval by the Examination Board of Histotechnicians and Histotechnologists of Puerto Rico and the Board of Clinical Laboratory Personnel for the State of Florida, and a head shot picture for event promotional purposes.

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