Request edit access
4th Trimester Arizona 2020 Conference: Presentation Interest
Are you interested in presenting at the 4th Trimester Arizona Conference on Saturday, March 7th 2020? Fill out this questionnaire to give us more information about you and the topic you are interested in presenting! We are always looking for topics surrounding support and education before and during the postpartum time frame and look forward to hearing what you bring to the discussion!
Email address *
Phone *
Your answer
Name: *
Your answer
Occupation/Title: *
Your answer
Presentation Topic: *
Your answer
Description of Presentation: *
Your answer
This year’s Conference theme will be “Communication.” How will your presentation incorporate this overall theme? *
Your answer
Will you require power point or another A/V aid? *
Please check YES to confirm that you are available on Saturday, March 7th 2020: *
The conference will run from 9 am to 4 pm. You must be available between these hours in order to be considered as a presenter. If selected, we will do our best to schedule your presentation at a time that works for you, but we cannot guarantee specific time frames. Thank you for your understanding!
Tell us... What inspires you to be a part of the 4th Trimester Arizona, supporting new parents during the postpartum time frame? *
Your answer
4th Trimester Arizona requires that all conference sessions provide educational information that is free of advertisement and commercial influence. If selected, will you comply with this requirement?
May we contact you to discuss your session proposal? *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service