Virginia Society of Medical Assistants

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Name *

First

Last

Email *

Phone *

Location of Confernce *

Northern VA, South Western VA, Eastern VA, Central VA

Proposed Session Title *

Type of Session *

Other (please specify):

Who is the target audience for this proposed session? *

What will participants gain from attending this proposed session? *

Please provide a brief abstract for your proposed session. *

Will this be a panel presentation? *

Please list all panelists and their roles, as well as your role. *

If you don't yet know all panelists, list a generic title. Ex.: "Corporate Trainer, DEI"

Will you have co-presenters? *

Please list all co-presenters and their roles. *

Please select all items you will need for your session.

Other (please specify): *

Additional Comments or Message