Call for Presentations

 

 
IAHCSMM Presenter Form

 

If you are interested in presenting a topic at the IAHCSMM 2009 Annual Meeting, we are requesting that you submit your presentation proposal on this online application form. If you have any questions about this process please phone us at 800-962-8274.

Completed application with resume or curriculum vitae must be received on or before July 1, 2008.

ONLY ELECTRONIC SUBMISSIONS WILL BE ACCEPTED

Email all materials and direct all questions to: Elizabeth@iahcsmm.org

I have read and agree to the IAHCSMM Presentation Expectations (click here to review)

  Name of Presenter(s):

  Organization/Facility:

  Title:


  Please check all that apply (hold CTRL down for multiple selections):


Other: 

Please send me information on Membership

Please send me information on Exhibiting


 

Sponsored by:

Mailing Address (of presenter):
City/State/Zip:
Phone:
Fax:
E-Mail:
Proposed Session Title:
(title may be shortened or edited for clarity)
   

I will allow this presentation to be taped by IAHCSMM and will sign a letter of release.

   

REQUIRED:
Reference #1 Name

Phone Number:
   
Benefits/Objectives for Attendees:
(please identify what new things attendees would know or be able to do because they attended your session):
Objective 1:
Objective 2:
Objective 3:
 
Session Description
including length of presentation
 

(100 words maximum)
Will be used in promotional brochure.
May be edited for content and space constraints.


  Educational Track:
  (Please check all that apply –
hold CTRL down for multiple selections)

Other: 



  Audiovisual Needs :
  (Please check all that apply – hold CTRL down for multiple selections)

Other: 

NOTE: All Presentations require handouts
and must be submitted in PowerPoint format on an
IAHCSMM-supplied template!


)

 

Check here if your proposal includes more than 1 presenter. Using the name of Presenter #1 for identification purposes, complete one additional form for each additional presenter.


Disclosure Statement:

I do not have a financial interest in, or receive support from, any commercial entity in connection with this proposed presentation.

I hereby acknowledge interest in and/or support from:

By submitting this proposal, each presenter understands the Proposal Requirements and agrees to follow the guidelines as outlined in the Presentation Expectations of the Call for Presentations.


(Click here to download a PDF of Presentation Expectations document
for your records.
)

   
   
 

REMINDER: You must email a resume or curriculum vitae for each Presenter.

Click on next confirmation page to email.

IAHCSMM will confirm receipt of your complete application via email to Presenter #1