2019 Proposal Submission

HealthPartners Simulation 2019
Proposal Submission Form
Due May 13, 2019 by 2359
Proposal submitter will receive a registration link for one free admission upon proposal acceptance.

* Indicates required field

Name *

First

Last

Credentials *

Email *

Phone Number *

Organization *

Position/Role *

Address *

Line 1

Line 2

City

State

Zip Code

Country

I am submitting for a: *

45 Minute Podium Presentation 90 Minute Hands-on Skills Session/Workshop

Content designed for the following simulation experience level: *

Beginner Intermediate Advanced Any

Session Title *

Detailed Description--Session Details (for proposal review team) - 500 word max *

Objective 1 *

Objective 2 *

Objective 3 *

Brief Description--Session Overview (for posting in online brochure) - 75 word max *

Primary Presenter Name *

First

Last

Co-presenter Name *

First

Last

Co-presenter Credentials *

Co-presenter Name *

First

Last

Co-presenter Credentials *

Outline *

Presenters/Authors Bio: *

Upload Presenter Bio *

Max file size: 20MB

Co-Presenter Bio *

Max file size: 20MB

Co-Presenter Bio *

Max file size: 20MB

Notification of acceptance will be emailed by June 10, 2019. Presenters will submit an electronic copy of handouts/slides by September 13, 2019.

Submit

HealthPartners Simulation 2019Proposal Submission FormDue May 13, 2019 by 2359Proposal submitter will receive a registration link for one free admission upon proposal acceptance.

HealthPartners Simulation 2019
Proposal Submission Form
Due May 13, 2019 by 2359
Proposal submitter will receive a registration link for one free admission upon proposal acceptance.