Speaker Proposal Submissions

Healthcare Facilities Symposium & Expo Speaker Proposals

Please use the form below the submit your speaking proposal:

All fields are required:
Please list the name and contact information of the person who is making arrangements for the speaker. If you are the speaker making arrangements for yourself, please click the "Use Speaker's Information" box below.
Contact Name
Contact Title
Contact Company
Contact Address
Contact City
Contact State/Province
Contact Zip/Postal Code
Contact Phone
Contact Mobile
Contact Email
» Use Contact's Information From Above
Company Website
Zip/Postal Code
In what type of organization do you work? Architectural A/E/Firm
Interior Design Firm
Design/Build/Construction Firm
Engineering Firm
Hospital/Specialty Medical Center
Medical Office/Clinic/Outpatient Center
University Medical School
Long Term Care Facility/Community
Other (please Specify)
Speaker Bio
(max 1000 characters)
Characters left:
Where have you presented in the last 2 years?
(max 500 characters)
Characters left:
Speaker Video (not required) Please provide a link to any online video featuring the proposed speaker:
Please list additional speakers here. You must include name, title, company, mailing address, phone, e-mail, and bio for each speaker listed. Please include a link to any online video featuring the proposed speakers, if available.
Speaker #2: Characters left:
Speaker #3: Characters left:
Speaker #4: Characters left:
Proposed Session Title
(max 75 characters w/spaces!)
Characters left:
Proposed Session Description
(max 1000 characters)
Language should be succinct and clear as it will be used for online (such as the website) marketing purposes.
Characters left:
Proposed Session Summary Video (not required) Please provide a link to a 2 minute video of primary speaker explaining the purpose of the session:
Learning Objectives:
(max 150 characters ea.)
Include 4 primary bullet points your session will cover. These bullet points should outline benefits for an attendee in this session and use behavior verbs that describe observable and measureable behaviors. Language should be succinct and clear as it will be used for marketing purposes. Use concrete verbs such as: assess, build, calculate, distinguish, evaluate, integrate, interpret, measure, observe, plan, rank, recognize, research, resolve, specify, state, summarize, transform, utilize, etc.

If you think this session will qualify for the HSW designation within the AIA's CEU's please be sure the learning objectives comply with those guidelines. For more information on HSW please visit https://www.aia.org/pages/3281-health-safety-and-welfare-guidelines.
Objective #1:  Characters left:
Objective #2:  Characters left:
Objective #3:  Characters left:
Objective #4:  Characters left:
This session is about a LEED Certified Facility: YES | NO
This session is geared towards: Facility Managers & Planners
Healthcare Administrators
Architects & Planners
Interior Designers
Entire Design Team
Other (please specify)
Your presentation will focus upon: A single project experience
Multiple projects with a common theme
A general planning/design topic
You will primarily be discussing: Experiential information
Empirical or Quantitative data
To get the most benefit from your presentation, attendees should: Be early careerists or new to this subject area
Have a working knowledge of the subject area
Have extensive experience in the subject area
This submission could be presented as an interactive discussion forum in which there would be high attendee involvement & the speakers would facilitate the discussion more than present a topic: Yes  |  No
Preferred Amount of Time for Session: 30 minutes  |  60 minutes  |  75 minutes
Preferred Day for Speaking: Tuesday, September 17
Wednesday, September 18th
Thursday, September 19th
This submission includes a project that could be toured as part of the Facility Tour Program because it is within 20 miles of downtown Boston:  YES - Participate in Facility Tour
If this proposal is approved for CEU's, please check which organization: AIA
Other (please specify)
Other Submission Comments?
(max 500 characters)
Characters left:

You will receive an email confirmation upon submission of your form.
If you do not, please re-submit or call 203-371-6322 ext. 213 for assistance.

You must have javascript enabled to use this form.