Presenter Application

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* 1. Calendar year in which you would like to present (example: 2018)

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* 2. Name:

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* 3. Email Address:

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* 4. Phone Number:

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* 5. Organization you work for:

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* 6. Are you a member of OPRN?

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* 7. Are you a member of APRA?

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* 8. Have you presented before?

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* 9. If you answered yes to question 8, please tell us when and where you presented and on what topic.

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* 10. What presentation topic interests you?

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* 11. Please tell us about your proposed presentation.

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* 12. Presentation length and type?

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