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Speaker Application

  • Please complete the entire form, as all information is required. Incomplete submissions will not be considered.
  • (Facebook, friend, etc.)
  • (local, state, and national speaking history)
  • Please provide a link to a video of you recently presenting or include data file with the application.
  • Please provide a brief biography highlighting the experience and affiliation of the presenter. This may be published on the conference website.
  • Please attach your headshot/speaker photo
    Drop files here or
  • Drop files here or
  • Presentation Information

    All session presentations are to be 50-minutes of lecture and 10-minutes of Q&A. Note that most of the references in the presentation should be 7 or less years old to comply with ANCC regulations.
  • Describe the presentation in 200 words or less. This description may be included online and in marketing material.
  • These three evidence-based learning objectives must be stated as what the attendees will learn and take away from your session. Learning objectives should contain action verbs that describe measurable outcomes.
  • Second Presentation

    Complete this section if submitting a second presentation for review.
  • Describe the presentation in 200 words or less. This description may be included online and in marketing material.
  • These three evidence-based learning objectives must be stated as what the attendees will learn and take away from your session. Learning objectives should contain action verbs that describe measurable outcomes.