NHOTA SIS / COP Proposal Submission Form
Please use this form to officially submit a SIS presentation proposal.
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Submitted by *
Submitter's email *
Submitter's phone *
SIS Chair Coordinator 
Special Interest Section or Community of Practice *
Required
Topic/ Title *
Day/date of SIS
MM
/
DD
/
YYYY
Time of SIS/ COP
Time
:
Number of CEUs
Venue Name and Address
Audio/ Visual Needs
Presenter's Name, Credentials and Title *
Presenter's Address
Presenter's Email *
Presenter's Phone Number *
Presenter's brief bio (will be used to introduce/ promote session) *
Does the presenter consent to share digital presentation with attendees after the SIS? *
List Goals/ Objectives of Session (3)
Are there any additional presenters? If yes, list their name and credentials here.
Contact information (email and phone) for additional presenters
Anything else we should know?
Submit
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