INDIVIDUAL SPEAKER RECOMMENDATION FORM

2021 AAP Annual Meeting

The Continuing Education Oversight Committee (CEOC) is looking for speaker and 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 program recommendation form.

Program 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

Speaker Name *

Speaker Email *

Speaker Address *

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

Speaker Phone Number

Is Speaker an AAP Member *

Yes

No

Topic: *

Main reason speaker should be considered for this topic *

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

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.

Select Language

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INDIVIDUAL SPEAKER RECOMMENDATION FORM

2021 AAP Annual Meeting