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?

Speaker Bio
(max 1000 characters)
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Where have you presented in the last 2 years?
(max 500 characters)
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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.
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Proposed Session Title
(max 75 characters w/spaces!)
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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.
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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.
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This session is about a LEED Certified Facility: |
This session is geared towards:

Your presentation will focus upon:

You will primarily be discussing:
To get the most benefit from your presentation, attendees should:

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:  | 
Preferred Amount of Time for Session:  |   | 
Preferred Day for Speaking:

This submission includes a project that could be toured as part of the Facility Tour Program because it is within 20 miles of downtown Long Beach, California:
If this proposal is approved for CEU's, please check which organization:

Other Submission Comments?
(max 500 characters)
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You will receive an email confirmation upon submission of your form.
If you do not, please re-submit or call (203) 307-2696 for assistance.

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