Webinar Speaker Submission Form
Module and Webinar Contribution
Which module would you be interested in contributing to?
*
Module 1: Introduction to the Course and the History of HPH
Module 2: Theoretical Foundations of Behavior Change & Settings-Based Health
Module 3: The Importance of HPH for Healthcare Workers
Module 4: The Role of HPH in Climate Impact
Module 5: Children and Adolescents
Module 6: Migration, Equity, and Diversity
Module 7: Age-Friendly Care
Module 8: HPH and the Built Environment
Module 9: Culture in HPH
Module 10: Health Literacy for Individuals and Organizations
Module 11: Integrating and Sustaining HPH Through Quality Assessment
Preferred role
*
Speaker
Moderator
Proposed webinar title / contribution title
*
Description of your presentation (max 130 words)
*
0/130
Speaker Profile
First Name
*
Last Name
*
Profession / Position
*
Organisation / Institution
*
Email address
*
Please note: This email address will be used for your Moodle access.
Short biography (max. 130 words)
*
0/130
Please upload a professional photo of you
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload initial materials (optional)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Consent and Publication
I agree that my name, affiliation, photo and biography may be published on the MOOC platform and related communication channels.
*
I agree
I agree that the webinar may be recorded and used for educational purposes within the MOOC.
*
I agree
Submit
Should be Empty: