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Submit a Proposal

Presentation Proposal Form

Submission deadline is August 31st
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Submitters's Contact Information
*First Name:
*Last Name:
Credentials/
Degrees:
Title:
*Organization/
Institute:
*City:
*State:
*Phone:
*Fax:
*E-mail:
Session Type (Click here for definitions)

Great Idea Breakout Sessions
Would you be willing to repeat your session if selected for a Breakout Session?
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Bright Ideas Breakfast Roundtable Discussions
“From the States” Poster Sessions
“Strategies and Solutions” Poster Sessions

Programmatic Categories or “Tracks” (Click here for definitions)
Partnering for Preparedness Thematic Presentations
Pandemic Influenza
Preparedness Planning
Laboratory Preparedness & Response
Surveillance & Epidemiology
Strategic National Stockpile
Communicating in a Crisis
Evaluating Preparedness & Response
Continuing Education, Training and Workforce Development
Legal Aspects of Preparedness
Skills-Building Presentations
Environmental Health and Preparedness
Technology

Level of Difficulty
Basic/Introductory (“100 level” content)
Advanced (“200” or “300” level content)
Proposed Session Title

Brief Session Description (one to two paragraphs total)

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Session Facilitator
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