EmailMe Form - Call for Presentations

Call for Presentations

2014 NCHN Annual Conference

St. Louis, Missouri
June 18-20, 2014

Deadline for Submissions: January 10, 2014

The National Cooperative of Health Networks Association (NCHN) invites NCHN members, Business Partners and guests with an interest in health networks to submit proposals for presentations at our 20th Annual Conference in St. Louis, MO. The conference is an opportunity for network leaders to network, learn and share with their peers.

For more information, download the full Call for Proposals here: http://nchn.org/2014conference/NCHN2014CallforProposals.pdf

About the Presenter(s)
Please complete the information for the presenter. Please make sure that the email and the phone number are that of the presenter, as it will be used for future correspondence regarding the Conference.
First Name *
Last Name *
Title *
Organization *
Email Address *
Phone Number *
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
A recent picture of the presenter (this will be used on the website and conference program)
A brief bio (1-2 paragraphs) for the presenter (this will be used in the conference program and website) *
Additional Presenters
If you will have more than one presenter, please attach a file with the following information:

Additional Presenter's Name, Email Address, Phone Number, Title, Organization

A short bio and photo
How many additional presenters will be speaking during this session?
Presenter 2: Name, Title, Organization, and Email Address
Presenter 3: Name, Title, Organization, and Email Address
Presenter 4: Name, Title, Organization, and Email Address
Please upload a file that includes a photo and short bio for all additional presenters
About the Presentation
Please complete all fields related to your presentation.
Title of Presentation *
Type of Presentation *
Best Practice Update
Roundtable Discussion
Concurrent/Breakout Session
Plenary
Target Audience *
Horizontal Networks
Integrated Vertical Networks
Overall Generall Management (for all Networks)
Two sentence description for the Conference program *
One or two paragraphs describing the presentation, including learning objectives of the presentation – what the attendees will take away (This information will be utilized to promote the conference and your presentation.) *
Procedures
Presenters are responsible for all expenses related to delivering the presentation, if selected to present, including travel, lodging and meals, and the conference registration fee; however, non-NCHN member presenters may register for the conference at the membership rate.

The 2014 Annual Conference Planning Committee reserves the right to make final decisions on the selection of all presentations. Presentation applicants will be notified by January 31, 2014 if selected to present, so that travel arrangements can be made.

The 2014 Conference Planning Committee looks forward to your participation!

If you have questions, contact Rebecca Davis at rdavis@nchn.org or 970-712-0732.
Signature *
By signing and clicking submit, you are acknowledging the Procedures outlined above.
Date Time *
MM / DD / YYYY
SUBMIT
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About the Presenter(s)

Additional Presenters

About the Presentation

Procedures

SUBMIT