2023 Annual Conference - Call for Speakers

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The Louisiana Academy of Nutrition and Dietetics (LAND) will hold its Annual Conference in Baton Rouge, LA on Thursday, March 9 - Friday, March 10, 2023.

Please complete this form in its entirety for consideration to present at the conference.

Please contact land@eatrightlouisiana.org with any questions.

Email *

First Name *

Last Name *

Credentials *

Job Title *

Company *

Are you currently a member of LAND? *

Yes

PROPOSAL INFORMATION

Session Title *

Session Outline

This outline should identify major ideas and concepts that will be presented during your session. Please include the number of minutes you plan to spend on each concept and idea, including pharmacology topics.

We strongly suggest that you create the session outline as a Word document before copying and pasting the content into the field below.

Please insert your session outline here. *

Please indicate the total length in minutes of your presentation. *

Is the total length in minutes of your presentation flexible? *

Yes

Please list all applicable Performance Indicators (https://bit.ly/CDR_PI) for your presentation. *

Please indicate the CEU level(s) of your presentation. *

Level 1 - Assumes little knowledge of the subject

Level 2 - Assumes general knowledge of the literature and practice

Level 3 - Assumes thorough knowledge of the literature and practice

Required

Learning Objective #1 *

Learning Objective #2

Learning Objective #3

Learning Objective #4

Please share your past public speaking experience(s).

HONORARIUM INFORMATION

LAND has limited funds for honorarium and decisions regarding payment will be based on the speaker’s expertise and topic.

Please indicate your honorarium request below. If you plan to donate your services to LAND, then enter "N/A". *

Will you be working with a sponsor? *

Yes

If "Yes", please provide the following information.

Sponsor Name

Sponsor Email Address

Please indicate the amount or expenditures that this sponsor is willing to reimburse you below.

POLICIES AGREEMENT

Please read the given statements and enter your full name below to indicate your agreement.

I understand that if I am employed by a commercial interest that I am not permitted to present, unless my topic is unrelated to the entity's products or services. I understand that the use of commercial interest supplied slides and/or handouts is not allowed.

I understand that the information I have provided in this submission will be used in LAND marketing materials and publications.

I understand that LAND reserves the right to change my session title, outline, learning objectives, etc. for use in promotional materials.

I understand that, if selected, I must submit a current biography and headshot to LAND to be used for marketing materials associated with the 2023 Annual Conference.

I understand that, if selected, a Speaker Agreement form will need to be reviewed, signed, and returned to LAND or I will not be allowed to present my session at the 2023 Annual Conference.

I do hereby grant permission to LAND to distribute my presentation in PDF format to registered attendees as an educational resource.

I do hereby grant permission to LAND to record (both audio and video) my presentation during the 2023 Annual Conference. LAND has the right to sell and distribute said recording in connection with educational training, clinical and scientific purposes. It is further understood that LAND may sell and distribute said recording without additional approval from the speaker.

Please indicate your agreement to these policies by typing your full name. *

A copy of your responses will be emailed to the address you provided.

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