PROGRAM RECOMMENDATION FORM

2021 AAP Annual Meeting

The Continuing Education Oversight Committee (CEOC) is looking for content recommendations for the AAP’s 2021 Annual Meeting to be held Nov. 4-7, 2021, in Miami, Fla. Interested members must submit the form below by Nov. 15, 2019. AAP members are also invited to submit a speaker recommendation form.

Speaker Recommendation Submission Form

The Continuing Education Oversight Committee will make all final decisions.

Speakers must be able to provide 3:1 presentation format and must agree to video recording.

Questions? Contact the AAP at continuingeducation@perio.org or 312-787-5518.

Please provide all the information below.

Members Only Content:

Member Only

Topic: *

Speaker Name: *

Speaker Email: *

Speaker Address: *

City/State/Zip/Country(other than US): *

Speaker Phone Number:

Speaker Affiliation and/or Designation:

Is Speaker an AAP Member: *

Yes

No

What is the main reason speaker should be considered for this topic: *

Imperative for speakers who have not previously presented at AAP Annual Meetings.

Program Description:

Format: *

General Session (2 hours in length)

Hands-On Workshop (3.25 hours in length)

New CE Format (45 minutes in length)

Your Name: *

Your Email: *

Your Phone Number:

Committee, Organization, or program this submission represents (if appropriate):

If you are making this submission on behalf of a group, please provide the name of the group.

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PROGRAM RECOMMENDATION FORM

2021 AAP Annual Meeting