2024 Call for Presentations Submission Form

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* 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.

Annual Conference (May 8 - 10, 2024) - Attended by executives, administrators, managers and directors of all service lines. (60 - 75 minute sessions)

Senior Financial Managers Retreat (Virtual) (September 2024) - Attended by home health finance directors, CEOs and CFOs (60 - 75 minute sessions)

Corporate Compliance Symposium (Virtual) (November 2024) - Attended by CEOs, CFOs, VPs, administrators, directors of compliance and patient services, etc. (60 minute sessions)

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)

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* 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

2024 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)

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* 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?

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* 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.