SEIP 2019 : Presenter Submission Form

INSTRUCTIONS:
1. Please complete the application in its entirety. Incomplete applications will not be accepted
All information pertaining to this session will be communicated to the email address of the primary presenter only. The primary presenter will be responsible for communicating session information to SEIP as well as to his or her co-presenter(s). Information in all printed conference materials will appear exactly as provided on this application. Please check the spelling of all relevant titles, academic degrees, and professional designations. Should your submission be selected, SEIP will contact you via email.

Question Title

* 1. Presenter Information * Please include co-presenters information if submitting a panel

Question Title

* 2. Proposed  Session Title

Question Title

* 3. Session Overview/ Summary: (Please describe content as well as the method of delivery for your presentation, e.g., case study review, interactive, claims scenarios)

Question Title

* 4. Learning Objectives:

Please Note IMPORTANT DATES!
  • October 31st, 2018 – Submissions Due
  • January 2019– Selected Presenters notified via email
  • Friday, September 6th, 2019 – PowerPoint Presentation (and any applicable materials) due via email to Angela at Dybdahl@seipro.org

Thank you for your submission! If you have any questions regarding the submission process, please email Dybdahl@seipro.org
Thank you,

T