Interest Form for ASHHRA's Annual Conference & Exposition and More Survey

Thank you for your interest in sharing your knowledge with our members for ASHHRA's Annual Conference & Exposition.

Please complete the following form to be notified of future call for content for ASHHRA annual conferences and other learning opportunities.

Educational submissions are selected based on the following criteria:

Health care organization partnership
Illustrates a best practice
Provides clear and deliverable takeaway tools
Aligns with at least one ASHHRA HR Leader Model competency
Addresses one or more levels of audience
Aligns with the conference theme (if applicable)

Thank you for your interest in advancing the health care human resources profession!

1.Your Name

First Name:

Last Name:

2.Contact Information(Required.)

Title:

Company/Organization:

Address:

City:

State:

Zip Code:

Email:

Secondary email (if applicable):

Phone:

3.Are you an ASHHRA member? (Required.)

Yes

Not Sure

Other (please specify)

4.Please indicate what you are interested in:

Other (please specify)