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* 1. Address

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* 2. Choose the category you would speak on:

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* 3. Potential presentation title

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* 4. Briefly describe the content that you can present on. MAX 750 characters.

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* 5. Please provide a list of speaking engagements, relevant to your topic, over the last two years. (List title of presentation, date, and event).

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* 6. Indicate your interest in serving as one or more of the following:

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* 7. Indicate other potential speakers for this topic (if willing to be a panelist or co-presenter). Please include contact information:

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* 8. Indicate any other speakers you would recommend for this year's Annual Forum. Please include contact information: 

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* 9. If you have any video of your talk/presentation (recording, TedTalk, etc) and would like to share the link, please do so here:

IMPORTANT REMINDER: A Program Advisory Committee consisting of members of the National Alliance will review speaker proposals for criteria including topic relevance and importance, level of innovation, appropriate value proposition for employers, speaker expertise, and ability for audience members to learn and act on presented information. 

National Alliance staff will review Program Advisory Committee recommendations and have sole responsibility for determining final agenda content.  Applicants may be contacted to provide additional information on submission.  

Applicants will be contacted on the status of your submission by August 10, 2023

Important Notice for Healthcare Service Providers & Vendors

If you are a service provider or vendor, you will be required to provide financial support as a sponsor for the event. There are different levels of sponsorship available. Please check event website for details. This helps to support the industry as a whole and due to our non-profit status, allows us to provide quality education and in-demand speakers to our event.

Preference is given to submissions that include employers/purchasers as the main speaker.

At times it may be necessary for a presenter to refer to his or her business by name, but promotional efforts of any kind are considered a serious breach of the spirit of the conference. Speakers, presenters, and panelists are to refrain from promoting themselves and their businesses during presentations.

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