Conference Speaker Proposal
Conference Speaker Proposal
Name
Name
*
First
Last
Email
*
Cell Phone
Cell Phone
*
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-
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City/State
City/State
*
City
State
Are you a veterinarian?
*
Are you a veterinarian?
Yes
No
Are you a veterinary technician?
*
Are you a veterinary technician?
Yes
No
OSU CVM Alumni
*
OSU CVM Alumni
Yes
No
If yes, graduation year
Where would you like to present? (Check all that apply)
NOTE: Summer Seminar is 100% Virtual
*
Where would you like to present? (Check all that apply)
NOTE: Summer Seminar is 100% Virtual
Summer Seminar
Fall Conference
Online
Other
Other
Year you would like to present
*
Topic Area
*
Topic Area
Companion Animal
Equine
Food Animal
Large Animal
Mixed Animal
One Health
General
Will this presentation be sponsored?
*
Will this presentation be sponsored?
Yes
No
If so, who is the sponsor?
Honorariums are $300 per session (hour). Will you be requesting an honorarium and/or travel expenses?
*
Is this a presentation that has been or will be presented elsewhere? If so – when and where?
*
Brief description of presentation
*
Learning outcomes (3-5 per session)
https://vetmed.okstate.edu
*
Other Comments or things you would like to share
*