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2026 Call for Presentations Submission Form
*
1.
Tell us about yourself.
(Required.)
Primary Presenter
Title/Position
Organization
Address
City
State
Zip
Phone
Email
2.
Secondary Presenter
Secondary Presenter
Secondary Title/Position
Secondary Organization
Secondary Address
Secondary City
Secondary State
Secondary Zip
Secondary Phone
Secondary Email
*
3.
Are you a current member of the Home Care Association of New York State?
(Required.)
Yes
No
*
4.
If you are not a member would you like information on becoming a member?
(Required.)
Yes
No
Not Applicable
*
5.
Presentation Topic:
(Required.)
*
6.
Presentation Title:
(Required.)
*
7.
Presentation description (abstract)
(Required.)
*
8.
Presentation Learning Objectives
(Required.)
*
9.
Upload biographical sketch for primary presenter.
(Required.)
Choose File
No file chosen
10.
Upload biographical sketch of secondary presenter (if applicable).
Choose File
No file chosen
*
11.
Has this program been presented previously?
(Required.)
Yes
No
*
12.
Will your presentation include handout materials?
(Required.)
Yes
No
*
13.
Who is your target audience?
Select all that apply
(Required.)
Executive Leadership
Management
Finance
Human Resources
Operations
Clinicians
Paraprofessionals
Other (please specify)
*
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.
(Required.)
Annual Conference (May 7 & 8, 2026)
- Attended by executives, administrators, managers and directors of all service lines. (60 - 75 minute sessions)
Senior Financial Managers Retreat (September 2026)
- Attended by home health finance directors, CEOs and CFOs (60 - 75 minute sessions)
Corporate Compliance Symposium (November 2026)
- 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)
*
15.
What is the ideal length of time required for presentation (including Q&A)
(Required.)
60 Minutes
75 Minutes
90 Minutes
Half Day (3 - 4 Hours)
Full Day (6 Hours)
Multi-Day
Other (please specify)
16.
Have additional supporting documents or multiple presentation proposals?
Please upload your supplemental document here.
Choose File
No file chosen
*
17.
Do you require a speaker's fee?
(Required.)
Yes
No
18.
Please provide us with your speaker's fee.
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