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| * I am |
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| Credentials (as they appear after your name) | |
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| Organization/Business/Employer | |
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| Website(s)/Blog(s)/Facebook Page(s)/Twitter Account(s) (please include only those you would like to publish to attendees) | |
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| Are you a member of AHDI? | |
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| If yes, what is your AHDI member ID? | |
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| Have you presented at an AHDI Annual Convention & Expo meeting before? | |
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| Have you presented this session at another meeting/conference? | |
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| If yes, please indicate what meeting/conference (state/regional, local component, outside organization): | |
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| Are you identified in another conference proposal during the calendar year of this conference? | |
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| If yes, title of proposal: | |
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| Suggested length of presentation: | |
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| Please specify the event for which you are proposing this presentation: |
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Additional Presenters: If there are additional presenters please submit a separate form with their name, credentials, job title, organization, contact information and electronic signature. AHDI will not accept more than four presenters for any given presentation. Please note the primary presenter will serve as the main session contact and will be responsible for the session. |
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| * Choose an appropriate track: |
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| Session Abstract: Provide a 150 to 200 word abstract of the proposed session. The abstract will be used as the "session description" in the conference program. Identify your audience and explain how your session will benefit attendees: |
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| Learning Objectives: Please enter three (3) to five (5) learning objectives for your session. |
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| Biosketch: Provide a brief 100-150 word description of speaker(s) background and/or qualifications for giving this presentation. Volunteers will read this bio to introduce you before your presentation: |
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| Presentation Aids Required (Mark only what is needed) | |
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| Note: AHDI will not provide computers onsite. All speakers must bring their own laptop for their presentations. We will have every room prepared for laptops to easily plug into. |
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| Who is the target audience? (Check all that apply) | |
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| Presenter Consent
Check the following boxes if you agree to allow AHDI to: | |
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Recording Disclaimer
Conference recordings offer continuing education to conference participants and to those who were unable to attend the convention. The recordings will be sold for personal use to those wanting to use it for continuing education and the recordings may be shown on AHDI’s website for member use. The price charged will cover production costs, labor, equipment, and supplies paid by AHDI. Agreeing to the above in no way prevents the speaker from using their material in any manner desired. |
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Speaker Signature
My electronic signature below shows that I understand if my proposal is accepted I am required to submit any necessary handouts, biographical information, audiovisual requests, and other required information by the deadlines AHDI establishes. I understand AHDI is unable to provide presenter expenses and only provides complimentary registration for the day of the presentation.
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| To complete the electronic signature, please type your name in the box below. By typing your name, you are stating that you agree to the above statement. |
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Please note: The Committee will not consider sessions that do not have signatures and consent for all presenters. |
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