Please fill out this form to submit your presentation proposal
Primary Presenter Name & Point of Contact for the Submission
*
First Name
Last Name
By submitting this proposal, I acknowledge that the primary presenter listed above is responsible for coordinating with all co-presenters and ensuring they receive all relevant information, including notification of the proposal’s acceptance or denial. If the proposal is accepted, the primary presenter will receive complimentary conference registration. All co-presenters who wish to attend must register separately and pay the applicable registration fee.
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I acknowledge the statement above
Credentials
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Presenters Names, Credentials, & Emails
Presenter Bio[s]. Please include a biography for each presenter.
*
Presentation Title
*
Presentation Synopsis
*
Please include 2-4 learning objectives of your presentation.
*
Research Citations/References
*
Headshot[s]. Please upload headshots of all presenters
*
Browse Files
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Choose a file
Please attach a photo that we can use on the schedule.
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of
Resume[s]. Please upload resume(s) for all presenters
*
Browse Files
Drag and drop files here
Choose a file
Please attach a photo that we can use on the schedule.
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