Speaker Agreement

KAFP requires a Speaker Agreement & COI to be completed by each speaker at Fam Med Forward.

If a speaker is giving multiple presentations, they must complete this form for each presentation as the form requests specifics for each presentation.

Items to have ready to complete your Speaker Agreement:

  • Title of your presentation.  Shorter titles, 5 words or less, are preferred.
  • Learning Objectives (LO) for your presentation, please provide up to three objectives that complete this statement: “At the conclusion of this session, attendees should be able to…”
  • Short biography* (not a CV)
  • Head shot*

*Biography and head shot will be published in meeting materials.

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