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◂ September 2017
Call for Presentations
9/15/2017
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Presenter's Name
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First
Last
Presenters Title
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Required
Presenter Organization:
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Email
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Phone
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Organizations Address
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Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
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Iowa
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Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
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New Hampshire
New Jersey
New Mexico
New York
North Carolina
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Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
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Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Presenter's Bio
*
Required
Please provide a brief bio for online/printed material/CEU Application.
Please select the conference or conferences that you are submitting your presentation for consideration (check all that apply)
*
Required
Any SCHCA Conferences- as keynote speaker
Any SCHCA Conferences- as breakout speaker
SCHCA Independent educational seminar
SCHCA Summer Splash Conference
SCHCA Winter Conference
SCHCA Annual Trade Show & Convention
If you selected Summer Splash, Winter Conference or Annual Trade Show & Convention as a speaker, please select which session (check all that apply)
Summer Splash-Monday Session
Summer Splash-Tuesday Session
Summer Splash-Wednesday Morning Session
Winter Conference-Thursday Session
Winter Conference-Friday Session
Annual Trade Show & Convention-Sunday Afternoon Session
Annual Trade Show & Convention-Monday Session
Annual Trade Show & Convention-Tuesday Session
Annual Trade Show & Convention-Wednesday Session
Session Title and Description
*
Required
Please provide a description and objectives to be used for online/printed material/CE application.
Session Length
*
Required
All sessions must be at least 60 minutes in length. Since this presentation will be utilized for CEU’s, you understand that failure to present for your full slotted session, may result in not being selected in the future.
Please describe any honorarium requests.
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Required
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