Presenter Registration

Presenter Registration

Presenter Registration

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Please provide the following information to register as a presenter at our conference:

Presenter's Name: *

Presenter's Title: *

Presenter's Organization: *

Presenter's Bio: *

Is there a cost for this presentation and if so, has it been discussed with the coordinators and approved by them? Select all that apply Yes, there is a cost for this presentation, and it was discussed and approved No, there is no cost for this presentation.

Has the speaker presented this topic before? If so, when and where? *

Co-Presenter's Name and Title: (if applicable)

Session Content (Please describe the subject matter, target audience and your approach to making this an educational experience.) *

Session Title (not to exceed 50 characters) * Maximum of 50 characters

How will you engage the audience? Select all that apply Hands-on activities Large-group discussion Small group discussion Q & A Other

Session Outcomes: *

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