You must be a registered dietitian nutritionist and a member of the Dietitians in Integrative and Functional Medicine for at least the past two years (or be in your second year of membership) to be considered for the Speaker Bureau. You can submit up to 4 speaking proposals for the Speaker Bureau.

Incomplete applications will be discarded, so please complete application questions completely as necessary. You do not have to list more than one topic proposal, however.


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* 1. Email address

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* 2. Name & credentials as you would like displayed on the website:

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* 3. Please indicate what type of submission this is

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* 4. Please upload a headshot for use on the website.

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* 5. How long have you been a member of DIFM? Please include member number and/or maiden name if necessary.

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* 6. Please list speaking experience, including name of conference date (i.e. IHS 2018, WYDA 2017):

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* 7. List niche/specialty areas:

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* 8. List one topic proposal & 3 learner objectives for Speaker Bureau.

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* 9. List second topic proposal & 3 learner objectives (optional).

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* 10. List third topic proposal & 3 learner objectives (optional).

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* 11. List fourth topic proposal & 3 learner objectives (optional).

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* 12. Please upload resume or CV.

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* 13. Please upload reference letter or speaker evaluations or these may be sent to info@integrativerd.org

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* 14. A speaking sample is required. Here are some suggestions: 1. A link to a podcast, TV interview or radio clip you are interviewed on. 2. An audio clip or video clip from a presentation or that you recorded on your own (with your phone is fine) uploaded to Google drive, Dropbox or another cloud server with open link sent via email to info@integrativerd.org Please acknowledge date sent in text box. 

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* 15. If added to the Speaker Bureau, you will be required to acknowledge that you are speaking as a representative of DIFM and include a provided slide in your presentation about how to refer or see a integrative RDN.

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