* 1. Contact Information - Lead Presenter

* 2. Presenter #2 - Name, Position, Company, Address, Phone and Email Address (if applicable)

* 3. Presenter #3 - Name, Position, Company, Address, Phone and Email Address (if applicable)

* 4. Presenter #4 - Name, Position, Company, Address, Phone and Email Address (if applicable)

* 5. Presenter Qualifications - Please briefly describe each presenter's experience and training that uniquely qualifies them to participate in the proposed workshop. (3-4 sentences per speaker)

* 8. Proposed Workshop Title

* 9. Provide a short description of the session.  This information will be used in the Conference Program.  Please limit description to no more than 5-7 sentences.

* 10. List 2-3 Workshop Session Objectives (Learning objectives begin with the phrase:  “At the conclusion of this activity, participants will be able to...” )

* 12. Please select no more than 2 key topic areas for the session you are proposing:

* 13. Please select the audience skill level for your workshops:

* 14. Please note the intended audience for your workshops session (i.e. care managers, directors, nutrition providers, administrators, etc.)

* 15. As the lead presenter, I have contacted the co-presenters listed in this submission and advised them that they will need to pay a registration fee to present at the conference.

* 16. Do you have any questions or comments?  If so, please include them here:

* 17. By submitting this proposal, I understand that ALL presenters must be registered for the conference, and pay all registration costs.

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