Speaker Application Deadline for submissions is Friday, March 18, 2016. Name Title Credentials Organization Email Address Phone Please note the following: There will be 4 education programs held throughout the year. The time of these events will be 8:15am - 9:45am. Please check all of the dates you are available: Checkboxes April 21, 2016 June 16, 2016 September 15, 2016 November 17, 2016 Please describe your level of expertise in the field: Checkboxes Beginner (0-3 years) Intermediate (3-10 years) Advanced (10+ years) Presentation Topic Area Presentation Title and Overview Objectives (what will the attendees learn?) Presentation Method: Checkboxes Lecture Power Point Panel Presentation Group Discussion Target audience: Checkboxes Beginner (0-3 years) Intermediate (3-10 years) Advanced (10+ years) Presenter credentials and bio: Prior presenting experience Additional information for committee consideration: Draft of presentation description to be used in promotional communications: Δ
