2021 Call for Presentations Submission Form

Question Title

* 1. Tell us about yourself.

Primary Presenter

Title/Position

Organization

Address

City

State

Zip

Phone

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* 2. Secondary Presenter

Secondary Presenter

Secondary Title/Position

Secondary Organization

Secondary Address

Secondary City

Secondary State

Secondary Zip

Secondary Phone

Secondary Email

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* 3. Are you a current member of the Home Care Association of New York State?

Yes

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* 4. If you are not a member would you like information on becoming a member?

Yes

Not Applicable

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* 5. Presentation Topic:

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* 6. Presentation Title:

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* 7. Presentation description (abstract)

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* 8. Presentation Learning Objectives

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* 9. Upload biographical sketch for primary presenter.

PDF, DOC, DOCX file types only.

Choose File

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* 10. Upload biographical sketch of secondary presenter (if applicable).

PDF, DOC, DOCX file types only.

Choose File

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* 11. Has this program been presented previously?

Yes

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* 12. Will your presentation include handout materials?

Yes

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* 13. Who is your target audience?

Select all that apply

Executive Leadership

Management

Finance

Human Resources

Operations

Clinicians

Paraprofessionals

Other (please specify)

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* 14. For which of the following do you wish this proposed presentation to be considered? Check all that apply

Note: Proposals for a signature event must be received at least 8 weeks prior to the date of the targeted event.

Virtual Annual Conference (May 5 & 6, 2021) - Attended by executives, administrators, managers and directors of all service lines. (60 - 75 minute sessions)

Senior Financial Managers Retreat (September 9 & 10, 2021) - Attended by home health finance directors, CEOs and CFOs (60 - 75 minute sessions)

Corporate Compliance Symposium (October 20, 2021) - Attended by CEOs, CFOs, VPs, administrators, directors of compliance and patient services, etc. (60 minute sessions)

NE Home Health Leadership Summit (Jan 2022) - Co-hosted by the state associations of NJ, NY, MA, CT, NH, VT, RI and ME. Attended by home care and hospice executives from throughout the host states.

Standalone full or half-day program (single session or series) - Date, location and length to be mutually determined.

Webinar (single session or series) - provided throughout the year on informative topics (60 - 90 minutes)

Other (please detail)

Question Title

* 15. What is the ideal length of time required for presentation (including Q&A)

60 Minutes

75 Minutes

90 Minutes

Half Day (3 - 4 Hours)

Full Day (6 Hours)

Multi-Day

Other (please specify)

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* 16. Have additional supporting documents or multiple presentation proposals? Please upload your supplemental document here.

PDF, DOC, DOCX file types only.

Choose File

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* 17. Do you require a speaker's fee?

Yes

2021 Call for Presentations Submission Form

Question Title

* 1. Tell us about yourself.

Question Title

* 2. Secondary Presenter

Question Title

* 3. Are you a current member of the Home Care Association of New York State?

Question Title

* 4. If you are not a member would you like information on becoming a member?

Question Title

* 5. Presentation Topic:

Question Title

* 6. Presentation Title:

Question Title

* 7. Presentation description (abstract)

Question Title

* 8. Presentation Learning Objectives

Question Title

* 9. Upload biographical sketch for primary presenter.

Question Title

* 10. Upload biographical sketch of secondary presenter (if applicable).

Question Title

* 11. Has this program been presented previously?

Question Title

* 12. Will your presentation include handout materials?

Question Title

* 13. Who is your target audience? Select all that apply

Question Title

* 14. For which of the following do you wish this proposed presentation to be considered? Check all that applyNote: Proposals for a signature event must be received at least 8 weeks prior to the date of the targeted event.

Question Title

* 15. What is the ideal length of time required for presentation (including Q&A)

Question Title

* 16. Have additional supporting documents or multiple presentation proposals? Please upload your supplemental document here.

Question Title

* 17. Do you require a speaker's fee?

Question Title

* 18. Please provide us with your speaker's fee.

* 13. Who is your target audience?

Select all that apply

* 14. For which of the following do you wish this proposed presentation to be considered? Check all that apply

Note: Proposals for a signature event must be received at least 8 weeks prior to the date of the targeted event.