Please complete and submit this form so we can appropriately process CEU/CME.

Symposium Presenter Suggestions

Primary Presenter

First Name

Last Name

Credentials

Work Phone

Cell Phone

Affiliated Organization Name

Organization City

Organization State/Province

Organization Country

Co-presenter(s)

First Name

Last Name

Credentials

Work Phone

Cell Phone

Affiliated Organization Name

Organization City

Organization State/Province

Organization Country

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Presentation Category Presentation Category

Presentation Title

Learning Objectives (list at least two, not more than four)

Presentation Description

References (Provide at least three scientific references you will cite in your presentation)

Disclosures

Guarantee

I understand that submission of the above does not guarantee a presentation opportunity. Sole discretion is with the North American Division Health Ministries.

Free of bias

I understand that continuing education/contact hours will be provided to attendees, therefore my presentation will be free of bias.

Free of bias

I understand that if chosen as a presenter, my presentation will be recorded for use by the North American Division at its discretion.

My Email

If you are human, leave this field blank.

Presenter Guidelines

Presenters will be selected based on topic interest, qualifications of presenter(s), scientific validity
Presenters must disclose any conflicts of interest.
Continuing education units will be obtained for presentations.
Attendees will come from diverse backgrounds, perspectives, educational attainment, etc. Please be respectful of the diversity of attendees

Plan Ahead

Date and time of presentation will be determined by selection committee. You will be contacted by a committee member, with whom you may discuss particular needs.
Breakout session will be 75-minutes and should include time for Q&A.
You are highly encouraged to provide handout material to supplement your presentation. Material will be provided digitally.
Sessions will be presented virtually. Instructions will be shared with you in the weeks ahead.
Presenters and co-presenters will receive a special link to register at a discount rate. Honorariums will be provided where applicable.

Community Code

Presenters and attendees are expected to honor the following guidelines.

Express your opinions freely when entering into informed debate. Our community is diverse and opinions expressed do not necessarily represent the views of the North American Division.
The following will not be tolerated.
- Violent, obscene, profane, hateful or racist comments.
- Comments that threaten or defame any person or organization.
- Solicitations, advertisements, or endorsements.
- Comments that suggest or encourage illegal activity.
We encourage everyone to:
- Use accountability and compassion when connecting.
- Realize that we can disagree without being disagreeable.
- Seek to understand one another, approaching conversations with genuine curiosity.
- Recognize that we can only speak from our personal experiences.
- Honor that we do, indeed, contain multitudes – different genders, races, ethnicities, abilities, economic backgrounds, linguistic heritages – and such differences are vital to our community.

Request for Presentations