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* 1. Speaker name and credentials, as you want them to appear for the Webinar Education program marketing purposes

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* 2. Speaker title

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* 3. Speaker affiliation

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* 4. Speaker Contact Information 

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* 5. Speaker presentation experience (Curriculum Vitae) at past conferences or webinars

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* 6. Suggested webinar title

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* 7. Session Abstract (less than 200 words, to be used for marketing purposes)

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* 8. List three learning objectives

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* 9. Enter suggested Learning Need Codes and Performance Indicator Codes

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* 10.  Sponsor company name, if applicable

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* 11. Sponsor contact representative name and contact information, if applicable

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* 12. Speaker Bio (less than 200 words, to be used for marketing purposes and speaker introduction, if the proposal is accepted)

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* 13. Please upload a speaker photo (to be used for marketing purposes, if the proposal is accepted)

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Thank you for submitting your proposal! The Webinar Education Committee will reach out to you regarding your proposal.

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