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  • Protecting Public Health and the Environment

 Guidelines for Abstract/Presentation Approval and Implementation

Click here to review th​e Guidelines for Abstract/Presentation Approval and Implementation​​​​​​

Please note, adding an attachment to your abstract submittal form is not currently available. Once you ​"save" the 
abstract is submitted.  There is no preview.​​​  And after you submit your abstract, it cannot be edited.  ​

 Abstract Online Form

 
Attach FileAttach File

Your Name

Abstract Title *

Application Submittal Date

Location

Title of Program *

Sponsoring Chapter or Committee

Number of Contact Hours Proposed

Titles of Presentations to be Reviewed for PDHs

Submitter Email *

Submission Password *

Primary Topic *

Secondary Topic

Speaker Name Title *

Speaker First Name *

Speaker Last Name *

Speaker Employer *

Speaker Email *

Speaker Phone

Speaker Cell

Speaker Address *

Speaker City *

Speaker State *

Speaker Zip *

Speaker Job Title *

Speaker Job Description *

Speaker Major Projects *

Speaker Related Experience to Presentation *

Speaker Previous Employment *

Speaker Education *

Speaker Licenses *

Co-Author 1 Name

Co-Author 1 Employer

Co-Author 2 Name

Co-Author 2 Employer

Co-Author 3 Name

Co-Author 3 Employer

Mini-Abstract Description *

Abstract Description *

Presentation Learning Objective *

Continuing Education Elements *

Will there be a Co-Presenter? *

Name of Co-Presenter

Co-Presenter's Email

Are You a Student?

Check if you are an invited speaker for a particular session?

Enter session name (if invited speaker)

Attachments