Skip to content

Vascular Care Team Speakers' Bureau Application

Providing responses to the following questions will help the Education Committee understand your interests and expertise to find the best opportunities for you!
Your application will be reviewed by the Education Committee, and you will be notified of placement within 30 days.
1.Name (credentials, certifications)
2.Organization
3.Job Title
4.Location
5.Please upload your CV.
No file chosen
6.Please upload a brief bio.
No file chosen
7.Please upload a headshot.
No file chosen
8.Briefly summarize your career and role or experience in the vascular environment (125 words or less).
9.Describe your speaking experience:
10.What are your specific research or publication interests, if any?
11.Please list two references to speak to your speaking experience, including phone number and email address.
12.Are you interested in having a speaker mentor or co-speaker?
13.Can you travel to for speaking opportunities?