Call for Presentations

Question Title

* 1. First Name (Lead Presenter)

Question Title

* 2. Last Name (Lead Presenter)

Question Title

* 3. Practice/Organization

Question Title

* 4. Specialty

Question Title

* 5. Email Address

Question Title

* 6. Phone

Question Title

* 7. Lead Presenter CV

PDF, DOCX, JPEG, JPG, DOC file types only.
Choose File
No file chosen

Question Title

* 8. Co-Presenter 1 Full Name

Question Title

* 9. Co-Presenter 1 CV

PDF, DOCX, JPEG, JPG, DOC file types only.
Choose File
No file chosen

Question Title

* 10. Co-Presenter 2 Full Name

Question Title

* 11. Co-Presenter 2 CV

PDF, DOCX, JPEG, JPG, DOC file types only.
Choose File
No file chosen

Question Title

* 12. Co-Presenter 3 Full Name

Question Title

* 13. Co-Presenter 3 CV

PDF, DOCX, JPEG, JPG, DOC file types only.
Choose File
No file chosen

Question Title

* 14. Presentation Title

Question Title

* 15. CME Hours

Question Title

* 16. Session Description

Question Title

* 17. Learning Objectives

Question Title

* 18. Core Competency:

Question Title

* 19. Target Audience Level:

Question Title

* 20. Needs Assessment

PDF, DOCX, JPEG, JPG, DOC file types only.
Choose File
No file chosen

T