MAPA 2020 Spring CME
March 21, 2020 Spring CME Conference Request for Speakers
Michigan Academy of Physician Assistants
First Name *
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Last Name *
Your answer
Credentials *
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email address *
Your answer
Speaker Title *
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mobile phone *
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Speaker Company/Organization *
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Speaker Bio *
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Honorarium - per session *
Honorarium
Session Title *
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Session Title
CME Disclosure form is required - https://www.michiganpa.org/page/2020SpringCME)
Session Description *
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Learning Objective #1 *
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Learning Objective #2 *
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Learning Objective #3 *
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Intended Audience *
Will your session have additional speakers
(If Yes) Additional Speaker First Name
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(If Yes) Additional Speaker Last Name
Your answer
(If Yes) Additional Speaker Credentials
Your answer
(If Yes) Additional Speaker email
Your answer
(If Yes) Additional Speaker - mobile phone
Your answer
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