KHIC Call for Presentations Δ Email(Required) Please provide the email address of the person completing this form.Type of Presentation*(Required) Breakout session Full group session Panel Presentation Workshop You may select more than one option if your presentation is amenable to more than one format.*Types Breakout session: 50 minutes plus 10 minutes for Q&A; designed for fewer than 50 participants and facilitates networking on a particular topic Full group session: 60 minutes; should have broad appeal to our audience of public health professionals, healthcare providers, nonprofit organizations, local leaders and advocates, and anyone committed to building healthier communities Panel presentation: 50 minutes plus 10 minutes for Q&A; presenters share their perspectives, insights, and experiences related to addressing health disparities Workshop: 90 minutes; an in-depth discussion and collaborative problem solving on a particular topicTitle of Presentation(Required)Please describe the target audience for your presentation.(Required)In no more than 200 words, please provide an abstract or description of your presentation.(Required)Primary PresenterPlease provide the following information about the primary presenter. If your presentation is accepted, we will contact you and request additional details about the primary, and any additional, presenters.First Name(Required)Last Name(Required)Email(Required) CredentialsTitleOrganizationPlease upload a CV or resume for the primary presenter.Accepted file types: doc, docx, pdf, Max. file size: 8 MB. ObjectivesPlease indicate which of our conference objectives your presentation most applies to (select all that apply).(Required) Use data to better understand and prioritize community health needs Identify and connect community and regional resources that support health and wellness Build partnerships across organizations and communities to address shared health challenges Develop practical action steps that link data, resources, and partnerships List the learning objectives of the presentation.(Required)Please provide a link to a sample of your presentation, if available (e.g., You Tube video, etc.). Please upload a sample of your presentation, if available.Accepted file types: pdf, ppt, pptx, doc, docx, Max. file size: 8 MB. Is there anything else you would like us to know about your presentation?