Speaker Application

Conference > Conference Speaker > Speaker Application

Instructions:

You must complete this form in order for us to be able to offer continuing education for this topic. This form should take approximately 10-15 minutes to complete. This will include entering speaker names, contact information, biographical sketch, presentation objectives (minimum of three) and a brief outline of subtopics. Please be prepared with all this information before beginning as you cannot finish your submission without completing all the fields. It is highly recommended that you print out a worksheet for gathering this information. Please click here to view and print the worksheet.


Fill in all required fields below and click "Continue". Required fields are denoted by an asterisk '*'.




Educational Activity Overview:


* Purpose Statement: PLEASE READ THESE INSTRUCTIONS CAREFULLY

This statement should provide a brief description of the presentation to help people decide whether or not to attend. It should include who the activity is intended for, what knowledge, skills, etc. will be addressed, and how participants/clients will benefit from this activity.

NOTE: The purpose statement that you write will be used in the conference marketing brochure to provide conference attendees with information about your presentation. The goal of the conference marketing brochure is to help nurses decide that they definitely want to come to the conference and attend your presentation! Please write your purpose statement as you would like to see it appear in the conference brochure as a description of your presentation. View a sample.





Behavioral Objectives:

Each presentation must have three behavioral objectives with supporting brief topic outline and learning method. Please complete the following information for each objective. View a sample.



Behavioral objective 1:
Outline of content related to objective 1.
(Type in up to 8 topics):
 
(how long you will spend on content for objective 1: minutes

(hold down Ctrl key to select multiple teaching methods)


Behavioral objective 2:
Outline of content related to objective 2.
(Type in up to 8 topics):
 
(how long you will spend on content for objective 2: minutes

(hold down Ctrl key to select multiple teaching methods)


Behavioral objective 3:
Outline of content related to objective 3.
(Type in up to 8 topics):
 
(how long you will spend on content for objective 3: minutes

(hold down Ctrl key to select multiple teaching methods)