AAPL 2025 Annual Conference - Presenter Submission June 17-19, 2025, Jacksonville, Florida Question Title * 1. FULL NAME: Please provide us with your full name. Note: If you have a co-presenter, there will be an opportunity to provide your co-presenter's information later in the survey. Question Title * 2. EMAIL: Please provide us with an email to communicate with you about your presentation. Question Title * 3. Your TITLE or JOB POSITION. Question Title * 4. EMPLOYER, INSTITUTION, HOSPITAL or COMPANY. Question Title * 5. Your CITY and STATE. Question Title * 6. TYPE of Institution/Company? Academic Community Children's Hospital Independent Practice/Medical Group Consultant/Consulting Firm Professional Speaker Corporate Partner (non-consulting firm) Other (please specify) Question Title * 7. Number of years as a Physician Liaison. Enter '0' if not applicable. Question Title * 8. PRESENTATION TYPE: Please indicate your desired presentation type. Preferred Will Consider Opening Keynote Opening Keynote Preferred Opening Keynote Will Consider Closing Keynote Closing Keynote Preferred Closing Keynote Will Consider Plenary (full audience) Plenary (full audience) Preferred Plenary (full audience) Will Consider Breakout (simultaneous sessions for targeted groups) Breakout (simultaneous sessions for targeted groups) Preferred Breakout (simultaneous sessions for targeted groups) Will Consider Question Title * 9. INTEREST CATEGORY: Please indicate the interest category that best aligns with your presentation submission. Liaison Best Practices Career Development/Leadership Data, Business Development & Strategy Other (please specify) Question Title * 10. TITLE OF YOUR PRESENTATION. Question Title * 11. Please enter talk OBJECTIVE 1 (out of 3) below. What can the attendee expect to learn from your presentation? Question Title * 12. Please enter talk OBJECTIVE 2 (out of 3) below. Question Title * 13. Please enter talk OBJECTIVE 3 (out of 3) below. Question Title * 14. Intended Audience Manager/Director Experienced Liaison New Liaison Pediatrics/Children's Hospital Oncology Fertility Other (please specify) Question Title * 15. DESCRIPTIVE PARAGRAPH: In 3-4 sentences, provide a brief descriptive paragraph of what your presentation will cover. (This will be listed on the website) Question Title * 16. Please upload your headshot for the website and conference mobile app PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please upload your headshot for the website and conference mobile app Question Title * 17. Enter your 75 word brief biography for agenda link. Question Title * 18. Do you have a co-presenter? Yes No Next