Speaker Bureau Application Form DIFM is proud to announce our new Speaker’s Bureau. If you are interested in spreading the word about DIFM and integrative and functional nutrition, then submit your name today. We are looking for DIFM members who would like to be a Presenters, Writers or Media Spokespeople.Candidates must have strong and applicable experience in the topic selected and be a DIFM member for two years, preferably.If interested the following items can be submitted to Therese Berry at difmspeakerbureau@gmail.comThanks for your interest in helping to promote integrative approaches to nutrition. Question Title * 1. Please provide your contact information Name Credentials Academy Member Number State/Province ZIP/Postal Code Email Address Phone Number Question Title * 2. Please describe your current position in dietetics and provide a brief work history Question Title * 3. Check all that interest you Presenter Author/Writer Media Spokesperson Available to comment on policy issues related to your areas of expertise Other (please specify) Question Title * 4. List topics that you are a subject matter expert. (check all that apply) Acupressure/Acupuncture Ayurvedic Medicine Behavioral Health Botanical/Herbal Medicine Brain Health (i.e. Neurological, ALS, Alzheimers, Parkinsons, etc.) Cancer/Oncology Nutrition Culinary Nutrition (whole foods, recipes, etc.) Diabetes, Type 1 Diabetes, Type 2 and insulin resistance Diet & Detoxification Digestive Disorders (Crohns, GERD, IBS, Ulcerative colitis, etc.) Eating Disorders Elimination or Special Diets (i.e. Anti-inflammatory, Gluten/casein, FODMAPs, Histamine, Ketogenic, Paleo, etc.) Energy Therapies Fertility Food Allergies, Sensitivities and Intolerances General Nutrition/Healthy Eating Gerontology Nutrition Heart Health/Cardiovascular Holistic Health Counseling Home Health Care Homeopathy Integrative & Functional Nutrition Kidney and Renal Diseases Laboratory Assessments Maternal Nutrition and/or Lactation Medicine Nutrition Therapy (MNT) Meditative Movement therapies: yoga, qigong, tai chi, pilates, etc. Metabolic Measurements Mind Body Medicine: Mindful Eating, Mindful Meditation, Guided Imagery Nutrigenomics and Nutrigenetic Testing Nutrition for Immune Disorders: HIV/AIDS Nutritional Supplements Osteopenia and Osteoporosis Pediatric Nutrition Polycystic Ovary Syndrome (PCOS) Sports Nutrition Vegetarian Nutrition Weight Management Yoga, Pilates and/or Tai Chi Instructor Other (please specify) Question Title * 5. List any recent publications/presentations you have done recently. Publications Presentations Other Question Title * 6. List a reference that has listened to one of your presentations Name Contact email Phone number Done