2027 Statewide Conference Call for Speakers Form

* Speaker Name

* Speaker Contact Phone Number

* Speaker Email Address

* Type of Session to Present

General Session
Break Out Session

* Session Title

* Abstract (150 words or less)

* Professional Bio Please include information such as experience, credentials and prior speaking experience.

* Fees and other expenses

Speaking Fee
No Speaking Fee
Travel Reimbursement
No Travel Reimbursement

Breakout sessions are unpaid educational opportunities. While we cannot accommodate professional speaking fees, limited travel/lodging assistance may be requested on a case-by-case basis during application and will be considered subject to budget availability.

Files to Share Optional: may include items such as bio or other relevant information. Please do not include presentation materials.

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