Thank you for submitting a proposal to present a breakout session or poster at the 2018 ACHI National Conference, March 14-16 in Atlanta! 

Please read the call for proposals and submission guidelines prior to filling out this form. Note that the submission deadline is Monday, September 25, 2017. Proposals that are incomplete or are submitted after the deadline will not be considered for selection.

If you have any difficulties or questions, please contact achiconference@aha.org.

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* Contact information for the submitting presenter:

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* Are you a member of ACHI? (Note: ACHI membership is not required to present.)

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* Please provide contact information for any additional presenters (up to two)

Contact information for presenter 2:

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* Contact information for presenter 3:

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* Please submit a brief biography (up to 250 words) for each presenter. If your presentation is selected, this information will be included in conference materials. Do not submit resumes or CVs.

Bio for Presenter 1:

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* Bio for Presenter 2:

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* Bio for Presenter 3:

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* What is your preferred presentation type?

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* Indicate the track to which your proposals best relates. Please refer to the call for proposals for descriptions of each track.

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* Presentation Title (up to 7 words):

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* Learning Objectives: List 3 learning objectives for your presentation

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* Description: In 300 words or less, please describe your proposed presentation. You are encouraged to relate your proposal to the conference theme, Be the Bridge, and the selected topic track.

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* We anticipate receiving more high quality proposals than we can fit into the conference agenda. There are various opportunities for you to share your work with the ACHI community. Please check the boxes below to indicate your interest in:

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