CALL FOR SPEAKERS APPLICATION
The Symposium Planning Committee invites you to submit a Call for Speakers Application for the 13th Annual Brain Injury Symposium of Mid-Michigan. The majority of attendees are health care professionals, students, and direct care staff. Survivors and family members may also be in attendance. The mission of the Symposium is to promote continuous learning of evidence based and cutting edge interventions in the field of brain injury rehabilitation.
Initial Speaker Application
Submission Deadline: 12/07/2019 Speaker Notification: 12/28/2019
Contact: Amanda Carr, Director of Rehabilitation - Amanda.Carr@OrigamiRehab.org
Brief Summary of Presentation *
Your answer
Name of Primary Speaker *
Your answer
Degrees/Credentials *
Your answer
Organization *
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Title/Position *
Your answer
Primary Phone Number *
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Email *
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Name of Second Speaker
Your answer
Degrees/Credentials
Your answer
Organization
Your answer
Title/Position
Your answer
Primary Phone Number
Your answer
Email
Your answer
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