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First Name *
Last Name *
Title & Organization *
Email *
Phone *
Presentation Title *
Please select the session focus area that best fits your presentation. *
What will those attending learn? Share up to four objectives. *
Presentation Method *
Target Audience *
What makes you passionate or qualified to speak on this topic? If available, please include evaluations from any of your speaking engagements. *
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Draft of your session description to use in the conference program (175 word max) This is a draft and may not be the final content in the program. *
Please include any additional information for the committee's consideration.
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By submitting this application, I understand that, if selected, I will be able to submit a headshot, biography and any relevant social media profiles. Please initial. *