SESHSMD 2025 Fall Conference Interest Form

SESHSMD 2025 Fall Conference Interest Form
SESHSMD is taking a leap and hosting the annual fall conference for the first time in Florida. Last year, our conference sold out, so to ensure the best experience for our members, please provide input in this short survey to help us plan an event tailored to your needs. Thank you for your interest in our fall conference!
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Preferred method of contact

EmailText message
Company Name
How many people from your organization are interested in attending the fall conference?
Where would your team members be traveling from?
The conference schedule is Thursday and Friday, but we are planning early registration and a pre-conference networking event on Wednesday evening. When would you plan on arriving based on this schedule?

Afternoon of Wednesday, November 12thEvening of Wednesday, November 12thMorning of Thursday, November 13th
Is there anything that we can consider that would make it easier/more likely for you and your team to attend? Examples can include specific programming types, speaker ideas, provider-only and/or members-only pricing, group discounts, registration being open in time for budget planning, etc.
Should be Empty: