2020 RHA of TN Presenter Interest Form

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All presenters will have 55 minutes to present and allow for audience Q&A.

Presenters may not use a presentation to market products or services. Any conflicts of interest must be declared ahead of time to the committee and to the session audience during your presentation.

Presenters should have strong internet connection, be comfortable using GoTo Meeting/GoTo Webinar.

Sessions should highlight positive, replicable programs and elements of health in rural Tennessee, or research that aims to improve rural health.

The three focus areas are: Health and Economic Policy Concerns, Behavioral/Mental Health Concerns, and Leadership and Collaborations in era of COVID.

Email *

First and Last Name *

Street Address *

City, State, Zip *

Phone *

Certification/Degree (as you want listed in the program) *

Please list any additional presenters and their titles as to be printed in the program (3 presenters max)

Presentation Title *

Short description of the session (75 words max) *

3 Learning Objectives *

Intended Audience (check all that apply *

Coordinated School Health

Students

Rural Health Hospital or Clinic

Rural Health Provider

All - Population Health

Other

Required

Are you willing to fill out a Conflict of Interest form? *

Yes

Maybe

Send me a copy of my responses.

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