Educational Session Information Form
Iowa Academy of Nutrition and Dietetics Annual Conference

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Select Meeting(s) you wish to present at. *
Required
Session Title   (Must be 10 words or less.  Please be creative.) *
Learning Outcomes (All outcomes to complete the following statement: “After presentation, attendees will be able to…”)500 characters or less per outcome. List 3 Outcomes. *
Session Description (In 1000 characters or less, explain the session content.  This statement may be used in supportive promotional materials for the session and should be reflective of the previously stated objectives.) *
Methodology - How will this session be presented – check all that apply. *
Required
Please list any additional AV needs that you require beyond a computer, microphone, and projector.
Speaker #1
This speaker will be the first speaker in the session.  All fields on this form are required.

First Name *
Last Name *
Credentials
Academy Member *
Academy Number
Employer
Title
Phone *
Email Address *
Speaker #1 – Bio
Speaker #2
This speaker will be the second speaker in the session.  All fields on this form are required.
First Name
Last Name
Credentials
Academy Member
Clear selection
Academy Number
Employer
Title
Phone
Email Address
Speaker #2 – Bio
Speaker #3
This speaker will be the third speaker in the session.  All fields on this form are required.
First Name
Last Name
Credentials
Academy Member
Clear selection
Academy Number
Employer
Title
Phone
Email Address
Speaker #3 – Bio
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Presentation Fee Requested:
Presentation Sponsor:
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Speaker Benefits
1. Complimentary registration the day of the presentation.

2. Conference CEU’s
Permissions
The Iowa Academy of Nutrition and Dietetics (IAND) videotapes each conference session.  These videos are made available for IAND members to view throughout the year.  The videos are posted on the IAND members-only site and are not available for download.
I hereby grant the IAND and the authorized audiovisual company permission to record my presentation to be presented at the 2021 IAND Fall Conference. I, along with my co-presenters, understand that this recording may be posted online and made available to IAND members.   I hereby grant the IAND permission to post an electronic (PDF format) version of my presentation slides from the IAND Fall Conference on the IAND website. I, along with my co-presenters, understand that this file may be made available to IAND members, attendees of the 2021 IAND Fall Conference, and/or members of the general public. *
Required
If you have any questions or need additional information, please contact:
Laura Croteau-Lopez – laura-croteau-lopez@uiowa.edu
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