ACCESSE19 Concurrent Speaker Submission
Thank you for your interest in being a speaker for ACCESSE19 - July 23-25, 2019 in Baltimore, MD.

Please complete the form in it's entirety. IF YOU ARE INTERESTED IN MORE THAN ONE TOPIC PLEASE SUBMIT THIS FORM FOR EACH TOPIC OF INTEREST. Forms are due by 5 pm est January 21, 2019. You will be notified at the end of January on the status of your submission.

Please note: CESSE is unable to provide travel, hotel, incidental or honorarium support to concurrent session speakers.

1) Name *
2) Title *
3) Organization *
4) E-mail Address *
5) Phone Number *
6) Address *
7) Please select the topic you are interested in presenting. Note: The topics below are the working titles of the sessions. Refer to ACCESSE Session Topic attachment for further description of each topic. *
Required
8) What type of experience or background do you have on this topic(s)? *
9) Have you presented on this topic(s) previously? *
10) If you answered "yes" to the last question, where and when have you or will be presenting this topic?
11) In your own words, briefly describe what your approach would be to this topic. *
12) Please provide three (3) learning objectives for your chosen topic. *
13) What aspects of this topic do you feel are important and why? *
14) Please attach your professional bio. *
Required
15) Feel free to update your resume, video, article and/or other resources which would help the Program Committee select you to speak at ACCESSE19
16) By submitting this form, do you or your organization agree to cover the cost of all travel, hotel and incidental costs for participating as a speaker? *
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