WHA Speaker Submission

We are seeking presentation proposals for our Annual Summit (two-day event in Grand Junction, CO), Leadership Academy (on-line and in-person education sessions), and other educational offerings for our members. Please fill out the form below and upload any relevant information. WHA staff will review all submissions and contact those that we feel are a fit for our needs. Thank you!

Name *

Phone *

Email *

Title *

Facility *

How did you hear about us?

Biography *

Type in the presentation description or upload a document below.

Presentation Title *

Presentation Description *

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Presentation Description Upload *

Upload Description

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Presentation Objectives *

Type in the presentation objectives or upload a document.

Presentation Objectives Upload *

Upload Objectives

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Why is the presentation important to share with WHA members? *

Do you have any references?

Yes

Reference

Referrer Name *

Referrer Phone *

Referrer Email *

Referrer Title *

Referrer Facility *

Referral Comments

Do you have an additional reference?

Yes

Additional Reference

Referrer Name *

Referrer Phone *

Referrer Email *

Referrer Title *

Referrer Facility *

Referral Comments

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WHA Speaker Submission

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