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This form will allow you to submit up to five session or topic ideas for Health Journalism 2021. If you have any questions, email jeff@healthjournalism.org

Due to volume, we cannot respond to all suggestions.

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* 1. Your name:

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* 2. Your affiliation (if freelance, just note that):

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* 3. Your phone number:

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* 4. Your email:

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* 5. Are you an AHCJ member?

We anticipate receiving numerous ideas related to the COVID-19 pandemic. If you are planning to submit one, please be as specific as possible.

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* 6. Suggest a title or a topic for a session you are proposing for Health Journalism 2021 (please submit one idea at a time; you'll have a chance to add more):

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* 7. Description for proposed session or idea (please be succinct; we can expand on this idea later):

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* 8. Potential moderator (from AHCJ membership):

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* 9. Potential speakers:

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