ACHA Certificant Speaking/Publishing Experience 2016 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. Question Title * 1. Name: Question Title * 2. Email address: Question Title * 3. Phone number: Question Title * 4. Please identify your geographic preference/limitations for presenting: Local (within 25 miles) Regional (3-hour driving distance) No limitations Other (please specify) Question Title * 5. Tell us about any presentations you have made in the last FIVE years. You will be prompted to input each presentation individually. I have not made any presentations in the last five years I have made one or more presentations in the last five years Next