APFM Webinar Solicitation Presentation Form

Personal Contact Information

Full Name of each Presenter *

Primary Contact E-mail Address *

Confirm Primary Contact E-mail Address *

Primary Contact Phone Number *

Primary Contact Company or Professional Affiliation

Brief Bio/CV *

Please no more than 200 words for each presenter.

Please upload a headshot for each Presenter (for use in marketing) *

Maximum file size: 3MB

Must be in image format; no more than 3 files; 3MB maximum per file.

Proposed Title *

Webinar Length *

90 minutes (our recommended length)

60 minutes

Other:Other:

Our preferred length, including time for Q&A, is 90 minutes.

Webinar Description *

Please limit to 200 words or fewer.

Educational Materials you intend to use during the presentation. *

Would you like participants to receive materials before or after the presentation? *

Before

After

No Materials to be Provided

Please explain which materials, if any, are to be delivered.

Please indicate the month or months you would be available to present *

To successfully promote the webinar, we prefer to have at least 45 days between the announcement of the webinar and the webinar itself.

Please list any particular day, time, or week you would prefer to present. *

Additional Comments or Questions

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