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PACAH General Educational Submission Form
COMPANY INFORMATION
Company Name
Company Street Address
City
State
Zip Code
Phone number
PRESENTER INFORMATION
Presenter Name 1
Email
Speaker Resume
Please select a file
Delete file
Please upload a resume/biography that includes the following: 1) Current job responsibilities 2) All academic institutions attended, degrees, majors and years of graduation 3) Pertinent qualifying experience, including past job experience.
Presenter Name 2
Email
Speaker Resume
Please select a file
Delete file
Please upload a resume/biography that includes the following: 1) Current job responsibilities 2) All academic institutions attended, degrees, majors and years of graduation 3) Pertinent qualifying experience, including past job experience.
Presenter Name 3
Email
Speaker Resume
Please select a file
Delete file
Please upload a resume/biography that includes the following: 1) Current job responsibilities 2) All academic institutions attended, degrees, majors and years of graduation 3) Pertinent qualifying experience, including past job experience.
SESSION INFORMATION
Session Title
Session Length
60 minutes
90 minutes
120 minutes
Session Summary
Copy and paste your session summary or upload file below.
Session Summary File Upload
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Delete file
SPEAKER QUALIFICATIONS
Have you presented in the past?
YES
NO
Date of most recent presentation
All proposed presentations should accurately represent the speaker and their affiliated company
Proposed presentations should provide interesting and useful information geared towards members of the skilled nursing facility and long-term care continuum
Proposed presentations should deliver information that can be used by attendees in their place of work on a daily basis and provide attendees with the tools to improve work performance.
Proposed presentations that address critical issues and/or emerging trends are encouraged.
Multiple session topics are welcome and can be submitted by completed the included session topic supplement
PACAH reserves the right to revise any session summary (without affecting overall session intent and description) in order to comply with brand standards and program content.
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