Speaker Interest Form for 2017 ASHHRA Conference

50% of survey complete.

We are thrilled that you want to share your knowledge with our members.

Please complete the following form to be notified of future call for presentations for ASHHRA Annual Conferences and other learning opportunities.

The submissions are selected based on the following criteria:
- Hospital and/or health care organization partnership
- Illustrates a best practice
- Provides clear and deliverable takeaway tools
- Aligns with an HR Leader Model competency
- Addresses a one or more levels of audience

-Aligns with the conference theme (presented at 2016 Annual Conference)

Thank you for your interest in advancing the health care human resources profession!

Question Title

* Please fill out the following information:

Full Name: *

Title: *

Company/Organization: *

Address:

City:

State:

Zip Code:

Phone: *

Email: *

Secondary email (if applicable):

Question Title

* Are you an ASHHRA member?

Yes

Not Sure

Other (please specify)