One of the benefits of certification is that you are identified as an expert in healthcare design. ACHA is working to develop a list of qualified speakers for upcoming opportunities with partner organizations. Please complete the following short survey to provide us with a list of your qualifications.

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* 1. Name:

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* 2. Email address:

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* 3. Phone number:

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* 4. Please identify your geographic preference/limitations for presenting:

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* 5. Tell us about any presentations you have made in the last FIVE years. You will be prompted to input each presentation individually.

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