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AHRA 2008
Annual Meeting
and Exposition

July 27-31, 2008

Annual Meeting Golf Tournament Header

You may fill out the online application form below, or send the following information in an e-mail to jenniferleo@mindspring.com.

* - Denotes required fields

Primary Presenter Contact Information  

* Primary Presenter's Name:
Academic Degree/Credentials:
Position/Title:
Institution/Organization:
* Address 1:
Address 2:
*City:
*State:
* Zip:
* Email:
* Work Phone:
Fax:
Are you an AHRA member? Yes        No
NOTE: Contracts are signed only with the primary presenter. Only the primary presenter is eligible for any speaker compensation. All presenters must be aware that this application is being submitted. Please make a copy of this application for all additional presenters.
Co-Presenter Contact Information (if applicable)  
 
NOTE: Contracts are signed only with the primary presenter. Only the Primary Presenter is eligible for any speaker compensation. All presenters must be aware that this application is being submitted. Please make a copy of this application for all additional presenters.

Co-Presenter's Name:
Academic Degree/Credentials:
Position/Title:
Institution/Organization:
Address 1:
Address 2:
City:
State:
Zip:
Email:
Work Phone:
Fax:
Are you an AHRA member? Yes        No
     
Presentation Details  

* Session Title:
10-word limit
* Preferred Session Format: 60 minutes
90 minutes
3 Hour
Categories which best describe your session
(You may select as many categories as you wish, but please choose ONLY from among the following categories)

Asset Management
Communications/Information Management
Electronic Imaging/PACS/Technology
Fiscal Management
Human Resources
Imaging Centers
Management/Operations
Professional Development
Regulation/Accreditation
* Session Description
Please supply a 10 sentence (minimum) description of your topic. Be as specific as possible about the material you will cover in the session. Your description will be used in writing the meeting brochure. Descriptions that are too short or vague will be returned.
* Learning Objectives of Session
List the three items that participants will be able to do at the end of the session. These Learning Objectives should take the form of "You will learn to..." followed by at least three bulleted items that attendees will learn. Sessions submitted without Learning Objectives will not be considered.
Please let us know if you would be willing to make your presentation twice.
YES
NO

* Available Dates for Presentation
Please indicate ALL days you would be available

Sunday July 27, 2008
Monday July 28, 2008
Tuesday July 29, 2008
Wednesday July 30, 2008
Thursday July 31, 2008
Speaker Compensation Category  
 
Please let us know which (choose one) of the following categories you are requesting for compensation.
Category 1 In-Kind Sponsor: Any AHRA Board member, employee of a vendor,
OR individuals who are consultants, regardless of AHRA membership status, who are speaking on a topic related directly to their business are recognized through in-kind sponsorship. The speaker receives complimentary meeting registration and the company is acknowledged as an in-kind sponsor.
Category 2 Members, non-members, vendors, and consultants speaking on a topic NOT directly related to their business. Compensation is comprised of: waiver of registration fee and honorarium of $400 for a single session of 60 or 90 minutes, or $500 for an expanded session. For additional session presented, the speaker will receive an additional $100.
Category 3

Members, non-members, vendors, and consultants speaking on a topic NOT directly related to their business. Compensation is comprised of: waiver of registration fee, lowest coach airfare, local ground transportation reimbursement, and one night’s hotel accommodations for each day speaking.

Important: Contracts are signed only with the primary presenter,
and only the primary presenter is eligible for any speaker
compensation.
     
Speaker Information  

* Important: Please include a current CV/Resume.
Paragraph-style biographical summary not acceptable-full chronological resume is required. Resume must contain the following information: Work history experience relevant to the topic being proposed; chronological education history listing degrees received; list of previous speaking engagements; list of publications speaker has
authored that are relevant to the topic.

(You may attach the CV/Resume to this form or e-mail your CV/Resume as a separate attachment to Jennifer Leo.)

Resume:
(CV/resume is only accepted in the following format:
MS Word, PDF or Plain Text files)

I will send my CV/resume in a separate e-mail to Jennifer Leo.

NOTE: Contracts are signed only with the primary presenter. Only the Primary Presenter is eligible for any speaker compensation. All presenters must be aware that this application is being submitted. Please make a copy of this application for all additional presenters.

ACCEPTANCE
Submissions are due by August 24, 2007. Notice of acceptance will be e-mailed in November 2007.

QUESTIONS?
Please contact Jennifer Leo at 877-984-MEET, ext. 21, or 703-964-1240, ext. 21, or via e-mail at jenniferleo@mindspring.com.

THE FINE PRINT

  • No hard copies of any part of the Speaker Application will be accepted. All documentation must be submitted electronically. See above for submission methods.
  • Submissions are due by August 24, 2007.
  • All applicants will be contacted by an AHRA 2008 Annual Meeting Design Team Member for a phone interview between September and November 2007 to discuss the presentation application. Please try to return messages promptly. The sooner the interview is held, the sooner a decision will be made regarding the presentation’s acceptance. Failure to participate in an interview may result in non-consideration of the proposed presentation.
  • Notice of acceptance will be e-mailed in November 2007.
  • If your presentation is accepted, we will do our best to schedule you during your preferred dates; however, due to the large number of submissions and time slots, a specific date and time cannot be guaranteed.