Learn ACA Webinar Proposals

Proposal Application

Complete the form below and submit for consideration and review. Submissions will be reviewed by the ACA Professional Development Advisory Board. The review and approval process can take up to 10 business days. ACA staff will contact you after the review process has been completed.

Proposals and webinars should be free from advertising and promotion with the primary focus on education.

*1.PRESENTER'S NAME(Required.)

Name

Email Address

Phone Number

2.CO-PRESENTER'S NAME

Name

Email Address

Phone Number

*3.PROPOSED WEBINAR TITLE(Required.)

*4.PREFERRED SESSION FORMAT - Select your preferred presentation format(Required.)

1-hour Lecture Live Online (1-2 presenters, includes 50-mins. presentation and 10-mins. audience Q & A)

1-hour Lecture Pre-recorded (1-2 presenters, includes 50-mins. presentation, no audience Q & A)

*5.PRESENTATION DESCRIPTION - Provide a clear summary of the education session content. (250 words or less)(Required.)

*6.COURSE BREAKDOWN - List the hourly breakdown of topics to be presented during your session. (Required.)

*7.LEARNING OBJECTIVES - Include 2-3 learning objectives that describe what learners should be able to do upon completion of this course.(Required.)

Learning Objective 1:

Learning Objective 2:

Learning Objective 3:

8.CONTENT REFERENCES: List3-5 content references to support the course presentation.

Reference 1:

Reference 2:

Reference 3:

Reference 4:

Reference 5:

*9.COURSE CATEGORY - Select the applicable categories from the list below. (Check all that apply)(Required.)

Acupuncture

Adjustive Technique

Coding & Documentation

Compliance

Diagnostic Imaging

Diversity

Ethics

Evidence-based Practice

Forensics

Geriatrics

Internal Diagnosis & Disorders

Neurology

Nutrition

Occupational Health

Orthopedics

Pain Management (Back Pain, Neck Pain, Opioid Management)

Patient Communication, Wellness

Pediatrics

Practice Management

Public Health

Rehabilitation

Research, Case Studies

Risk Management

Sports

Women's Health

Other (please specify)

10.CV UPLOAD - Upload curriculum vitae (CV) No more than two (2) pages in Word or a PDF format. Include a 2-page CV for all co-presenters as well.

No file chosen

*11.BRIEF SPEAKER BIO(Required.)

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