PT Ed Talk Speaker Proposal

First Name *

Last Name *

Organization *

Address Line 1 *

Address Line 2

City *

State *

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Postal Code *

Email

Credentials *

Are you a Member of APTA-Oregon *

Presenter Bio *

Please Upload Your Headshot for Marketing *

20MB max

Please Provide your Resume or CV *

20MB max

Presentation Title *

Presentation Description/Summary *

Presentation Session Length *

1 Hour

2 Hours

Learning Objectives *

Please outline the 3 to 5 learning objectives that the attendee will receive.

Will your presentation materials be available for attendees post presentation? *