HSE Conference Presenter Form by Amanda Wilson | Aug 1, 2023 | Health Science Educators, Presentation, Presenter Deadline for Presenters is October 27, 2025 or when slots are full. PRESENTER FORM Name of Presenter(Required) First Last Company Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Company or School(Required)Job Title(Required)Presenter's Email(Required) Presenter's Phone(Required)Title of your presentation(Required)Description of your presentation(Required)Short Bio of yourself(Required)(4 or 5 sentences long)Please select your preferred day you would like to present.(Required)Exhibitors must be a sponsor of the conference to secure a presenter's slot. Only two Exhibitor/Sponsor presentations per day. Deadline for Presenter form is October 1st. Monday, November 17, BEFORE Lunch Monday, November 17, AFTER Lunch Tuesday, November 18, BEFORE Lunch Anytime Please upload a head shot of yourself(Required)Max. file size: 50 MB.Are you an EXHIBITOR?(Required) Yes No Please list any audio/visual requests you may have or need.(Required)We will have audio, conference computer, WIFI and screen available to all presenters. If you need anything in addition to these, please let us know. Otherwise put N/A.CAPTCHA
