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2026 ICHRY Program Proposal Form
Deadline: September 1, 2025
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* Indicates required question
Title of Proposed Presentation
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Your answer
Lead Presenter's Name
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Your answer
Employer/Affiliation
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Your answer
Mailing Address/City/State/Zip
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Your answer
E Mail Address
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Your answer
Contact Phone Number
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Your answer
Additional Presenters: Names Degrees, Job Title, Employer/Affiliation, and E Mail Address (*All listed presenters must register for the conference)
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Your answer
Preferred Presentation Format
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Oral Presentation (1 hour session)
Roundtable Presentation (Rotating 30 minute sessions)
Any Format is Acceptable
Behavioral Objectives; Complete this sentence for each behavioral objective (maximum of four).
At the end of the session, participants will be able to:
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Your answer
Provide a 250 word abstract that includes: Title-Purpose-Significance-Procedures-Findings-Conclusions
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Your answer
Provide a brief summary (60 words or fewer) for the conference program book.
Your answer
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