Presenter Interest Form

MCA PRESENTER INTEREST FORM
By sharing your knowledge and experience, you can help MCA fulfill its mission of advancing and protecting Maryland chiropractic while providing meaningful educational opportunities for Maryland's doctors of chiropractic and chiropractic assistants.

All submissions are reviewed by the MCA Education Committee.

Please note:
- Submission of the presenter interest form does not guarantee a speaking opportunity.
- All proposals are evaluated based on educational value, relevance, speaker qualifications, and program needs.
- Only applicants selected for further consideration will be contacted.
- Approved presentations may be considered for conferences, webinars, on-demand education, and other MCA educational programs.
Speaker Information
Name

First NameLast Name
Company or Practice Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Is there a company that sponsors your presentation?
If yes, provide the name of the company and their point of contact.
Seminar Information
Seminar Style
Seminar Description/Summary
File upload for your CV, outline, learning objectives, etc.

You may upload multiple files
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MCA PRESENTER INTEREST FORM