Training Seminar Proposal Form

Proposal Submission Form

Important: Please complete all items shown and provide a separate form for each training seminar you are proposing.

Title of proposed training seminar:

Short description of proposed training seminar (~150 words):

Description of the audience for this seminar – please include company types, job titles and departments:

Has this seminar/class been presented previously in any form? If yes, please provide information on the presenting organization, presentation date(s) and attendance levels. Please also feel free to send links or PDF documents with further information to: ksimmons@healtech.com

This class has not been presented previously.

This class was held previously.

Cambridge Healthtech Training Seminars are 1.5 days in duration. Do you have presentation slides and materials prepared for a course of this length?

Yes

Comments:

Please paste a short bio in the space below, and tell us something about your past experience with teaching and/or training classes.

First Name:

Last Name:

Degree / Credential: (eg. Ph.D. or FACR etc.)

Job Title:

Department:

Company/Organization:

Mailing Address:

City:

State or Province (Canada):

Zip / Postal Code:

Country:

Phone:

Ext

Fax:

Email:

Your Organization Website: